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Contact Information

SOUTH LINCOLN HOSPITAL DISTRICT
711 ONYX ST
KEMMERER, WY83101-3214
 Phone: 307-877-4401
 Fax: 307-877-3236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTH LINCOLN HOSPITAL DISTRICT

NPI # 1700910411
LBN Legal business name SOUTH LINCOLN HOSPITAL DISTRICT
Authorized official ERIC BOLEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 01/05/2012 - About 14 years ago
Identifiers
WY License # 52-03675
WY License # 52-03675-IP
WY Medicaid 105993909
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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