Healthcare Provider Details

I. General information

NPI: 1073535712
Provider Name (Legal Business Name): SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 SOUTH US HWY 20
BASIN WY
82410-8902
US

IV. Provider business mailing address

388 SOUTH US HWY 20
BASIN WY
82410-8902
US

V. Phone/Fax

Practice location:
  • Phone: 307-568-3311
  • Fax: 307-568-2139
Mailing address:
  • Phone: 307-568-3311
  • Fax: 307-568-2139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK SCHROEDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 307-568-3311