CROOK COUNTY MEDICAL SERVICES DISTRICT
Long Term Care Hospital
Sundance, Wyoming
Provider NPI: 1114086402
Organization Information:Organization Name: CROOK COUNTY MEDICAL SERVICES DISTRICT
Practice Location:
713 OAK STREET SUNDANCE, WY 82729 US
Tel: 307-283-3501 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
713 OAK STREET SUNDANCE, WY 82729 US
Tel: 307-283-3501 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 282E00000X | Hospitals Long Term Care Hospital | WY | 07-105 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
N | 315D00000X | Nursing & Custodial Care Facilities Hospice, Inpatient | ||
N | 385H00000X | Respite Care Facility Respite Care | ||
Y | 251J00000X | Agencies Nursing Care |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
106168210 | WY | 05 | |
106168205 | WY | 05 | |
106168201 | WY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin