MEDICARE: PLATTE COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	341600000X	Ambulance
2	208D00000X	General Practice Physician
3	282NC0060X	Critical Access Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265469506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATTE COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	2901 N CENTRAL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 14TH ST
Second Line	:
City	:	WHEATLAND
State	:	WY
Zip	:	82201-3201
Country	:	US
Telephone Number	:	307-322-3636
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SANDY DUGGER
Credential	:
Telephone Number	:	307-322-3636

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	04/03/2026

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Directions to “PLATTE COUNTY HOSPITAL ” Practice Location

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