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NPI Code Detail

MEDICARE: CASTLE ROCK SPECIAL HOSPITAL DISTRICT

MEDICARE: CASTLE ROCK SPECIAL HOSPITAL DISTRICT
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
1207Q00000XFamily Medicine PhysicianWY

General Provider Information

NPI Number : 1740206382
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1400 UINTA DR
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-5060
Country : US
Telephone Number : 307-872-4500
Fax Number : 307-872-4595
Provider Business Practice Location Address
First Line : 1400 UINTA DR
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-5046
Country : US
Telephone Number : 307-872-4500
Fax Number : 307-872-4595
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. SUSAN BYBEE
Credential :
Telephone Number : 307-872-4530
Provider Enumeration Date : 07/15/2006
Last Update Date : 11/13/2007

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1043366081 — CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Practice Location Address:
1400 UINTA DR
GREEN RIVER, WY
82935-5046
Practice Phone: 307-872-4500
Practice Fax: 307-872-4595

Directions to “CASTLE ROCK SPECIAL HOSPITAL DISTRICT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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