SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Nursing/Intermediate Care Facility
Basin, Wyoming
Provider NPI: 1073535712
Organization Information:Organization Name: SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Practice Location:
388 SOUTH US HWY 20 BASIN, WY 82410 US
Tel: 307-568-3311 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:
388 SOUTH US HWY 20 BASIN, WY 82410 US
Tel: 307-568-3311 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE SHIELD | 007385 | WY | 01 |
106024401 | WY | 05 | |
106024402 | WY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin