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General NPI Number Information
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NPI Number | 1417031311
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL OF CARBON COUNTY
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 2221 W ELM ST
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City | RAWLINS
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State | WY
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Zip | 82301
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Country | US
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Telephone | 307-324-2221
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Fax | 307-324-8368
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Provider Business Mailing Address
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Address Line | PO BOX 460
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City | RAWLINS
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State | WY
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Zip | 82301-0460
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Country | US
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Telephone | 307-324-2221
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Fax | 307-324-8368
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Authorized Official
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Title or Position | CFO
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Name | MS. MICHELLE KEPLINGER
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Credential |
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Telephone | 307-324-8347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 08-187
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | WY
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