SOUTH BIG HORN COUNTY HOSPITAL DISTRICT; NPI #1811901515

Contact Information

SOUTH BIG HORN COUNTY HOSPITAL DISTRICT

388 SOUTH US HWY 20
BASIN, WY 82410-8902

Phone: 307-568-3311
Fax: 307-568-2139
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for SOUTH BIG HORN COUNTY HOSPITAL DISTRICT

NPI # 1811901515

LBN Legal business name SOUTH BIG HORN COUNTY HOSPITAL DISTRICT

Authorized official JOEL JACKSON - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/28/2006

Last updated 10/30/2023 - About 3 years ago

Identifiers

WY	License #	06-139
WY	Medicaid	110012203
WY	Medicaid	110012205
WY	Medicaid	115069300
WY	Other	BLUE CROSS	722001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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