Healthcare Provider Details

I. General information

NPI: 1548364615
Provider Name (Legal Business Name): NORTH BIG HORN HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 LANE 12
LOVELL WY
82431-9537
US

IV. Provider business mailing address

1115 LANE 12
LOVELL WY
82431-9537
US

V. Phone/Fax

Practice location:
  • Phone: 307-548-5200
  • Fax: 307-548-5244
Mailing address:
  • Phone: 307-548-5200
  • Fax: 307-548-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number07-169
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number07-128
License Number StateWY

VIII. Authorized Official

Name: MR. ERIC S. CONNELL
Title or Position: CEO
Credential:
Phone: 307-548-5203