Memorial Hospital of Converse County

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEMORIAL HOSPITAL OF CONVERSE COUNTY

Practice address

111 S 5TH St
Douglas, WY 82633-2434

Phone

(307) 358-2122

Fax

(307) 358-9216

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Curt Dugger

Title

Cfo

Phone

(307) 358-2122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, KS, PA, FL, TX, VA, WI, MA, WA, ID, NV, OR, UT, OH, MI, CA, HI, CO, GA, SC22 enrollments

Enrollment records 22

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Memorial Hospital of Converse County

  • Medicare Defined Swing Bed Hospital Unit
  • Douglas, WY
  • NPI 1285643221

  2264340843

  Same PAC ID
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408

  2264340843

  Same PAC ID
• Memorial Hospital of Converse County

  dba Oregon Trail Rural Health Clinic

  • Rural Health Clinic/Center
  • Glenrock, WY
  • NPI 1679582357

  2264340843

  Same PAC ID
• Memorial Hospital of Converse County

  dba Register Cliff Rural Health Clinic

  • Rural Health Clinic/Center
  • Guernsey, WY
  • NPI 1871503375

  2264340843

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Hospital of Converse County

  dba Register Cliff Rural Health Clinic

  • Rural Health Clinic/Center
  • Guernsey, WY
  • NPI 1871503375

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Memorial Hospital of Converse County

  • Medicare Defined Swing Bed Hospital Unit
  • Douglas, WY
  • NPI 1285643221

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Memorial Hospital of Converse County

  dba Oregon Trail Rural Health Clinic

  • Rural Health Clinic/Center
  • Glenrock, WY
  • NPI 1679582357

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Memorial Hospital of Converse County

  dba Register Cliff Rural Health Clinic

  • Rural Health Clinic/Center
  • Guernsey, WY
  • NPI 1871503375

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 269

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Barahal, M.D.

  • Anesthesiology Physician
  • Casper, WY
  • NPI 1093803918
  Medicare reassignment Care Compare group NPD
• Richard Carver, CRNA

  • Certified Registered Nurse Anesthetist
  • Evanston, WY
  • NPI 1083785281
  Medicare reassignment Care Compare group NPD
• Kerry Fischer, NP

  • Nurse Practitioner
  • Casper, WY
  • NPI 1437522125
  Medicare reassignment Care Compare group NPD
• Janae Kinikin, RDN

  • Registered Dietitian
  • Douglas, WY
  • NPI 1881248698
  Medicare reassignment Care Compare group NPD
• Ashley M Littleton, RD, CDE

  • Registered Dietitian
  • Douglas, WY
  • NPI 1538332820
  Medicare reassignment Care Compare group NPD
• Temberly Long

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1225406085
  Medicare reassignment Care Compare group NPD
• Brian Scott Retherford, M.D.

  • Obstetrics & Gynecology Physician
  • Douglas, WY
  • NPI 1134183080
  Medicare reassignment Care Compare group NPD
• Tristyn Richendifer, PA-C

  • Surgical Physician Assistant
  • Douglas, WY
  • NPI 1265816466
  Medicare reassignment Care Compare group NPD
• Loren B Thiel, MS CRNA

  • Certified Registered Nurse Anesthetist
  • Douglas, WY
  • NPI 1063503514
  Medicare reassignment Care Compare group NPD
• Suzanne Lei Aquino, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1154311694
  Medicare reassignment Care Compare group NPD
• Troy Allyn Belle, MD

  • Diagnostic Radiology Physician
  • Denver, CO
  • NPI 1629031299

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Dennis M Burton, M.D.

  • Diagnostic Radiology Physician
  • Palm City, FL
  • NPI 1043298417
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356496491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826331450",
            "telephone_number": "307-358-2122",
            "fax_number": "307-358-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-2122",
            "fax_number": "307-358-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF CONVERSE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-358-2122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghann Mara McAndrew, DPT
• Karli McMillan, D.O.
• Jessica McWilliams, OTRL
• Memorial Hospital of Converse County
• Memorial Hospital of Converse County
• Memorial Hospital of Converse County
• Mindful Connection Counseling
• Beverly Mix, LPC
• Bobbyjo Moberly
• Chelsea Hana Moore, CMT

• General Practice Physician in Douglas, WY
• Providers in Douglas, WY by specialty
• General Practice Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.