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General NPI Number Information
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NPI Number | 1598577611
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Entity Type | Organization
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Legal Business Name | SUBLETTE COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 615 E HENNICK ST
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City | PINEDALE
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State | WY
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Zip | 82941-5228
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Country | US
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Telephone | 307-367-0099
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Fax | 307-459-8576
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Provider Business Mailing Address
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Address Line | PO BOX 1200
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City | PINEDALE
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State | WY
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Zip | 82941-1200
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Country | US
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Telephone | 307-367-0099
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Fax | 307-459-8576
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Authorized Official
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Title or Position | INTERIM CEO
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Name | WILLIAM PATTEN
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Credential |
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Telephone | 307-367-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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