MEDICARE: NORTH BIG HORN HOSPITAL

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	332B00000X	Durable Medical Equipment & Medical Supplies	07-128	WY
2	261QR1300X	Rural Health Clinic/Center	07-128	WY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D8557	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1750485793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BIG HORN HOSPITAL

Provider Business Mailing Address
First Line	:	1115 LANE 12
Second Line	:
City	:	LOVELL
State	:	WY
Zip	:	82431-9537
Country	:	US
Telephone Number	:	307-548-5201
Fax Number	:	307-548-5224

Provider Business Practice Location Address
First Line	:	1115 LANE 12
Second Line	:
City	:	LOVELL
State	:	WY
Zip	:	82431-9537
Country	:	US
Telephone Number	:	307-548-5201
Fax Number	:	307-548-5224

Authorized Official
Title or Position	:	CEO
Name	:	MR. RICKY A. SCHROEDER
Credential	:
Telephone Number	:	307-548-5203

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	03/05/2019

Similar Medicare Providers

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Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

Practice Phone: 307-548-5200
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1467470732 — RICHARD E JAY D.O.
Practice Location Address:

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1992817381 — DR. TROY J CALDWELL M.D.
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1115 LANE 12
LOVELL, WY
82431-9537

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1073625406 — MR. KENNETH W. FERBRACHE P.A.
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1115 LANE 12
LOVELL, WY
82431-9537

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1548364615 — NORTH BIG HORN HOSPITAL DISTRICT
Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

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1467550392 — NORTH BIG HORN HOSPITAL DISTRICT
Practice Location Address:

1111 LANE 12
LOVELL, WY
82431-9537

Practice Phone: 307-548-5200
Practice Fax: 307-548-5205

Directions to “NORTH BIG HORN HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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