MEDICARE: MEMORIAL HOSPITAL OF SWEETWATER COUNTY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
2	282N00000X	General Acute Care Hospital	06-195	WY
3	282NC0060X	Critical Access Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1558361949	OTHER	WY	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558361949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMORIAL HOSPITAL OF SWEETWATER COUNTY

Provider Business Mailing Address
First Line	:	PO BOX 1359
Second Line	:	1200 COLLEGE DRIVE
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82902-1359
Country	:	US
Telephone Number	:	307-362-3711
Fax Number	:	307-352-8155

Provider Business Practice Location Address
First Line	:	1200 COLLEGE DRIVE
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901
Country	:	US
Telephone Number	:	307-362-3711
Fax Number	:	307-352-8155

Authorized Official
Title or Position	:	CEO
Name	:	IRENE RICHARDSON
Credential	:
Telephone Number	:	307-352-8413

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/06/2026

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Directions to “MEMORIAL HOSPITAL OF SWEETWATER COUNTY ” Practice Location

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