NPIMap

Organization Active NPI

Memorial Hospital of Carbon County Community Based in Home Services

  • Case Management Agency
  • Rawlins, WY
National Provider Identifier
1871895441
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251B00000X Issued in WY
Legal business name
MEMORIAL HOSPITAL OF CARBON COUNTY COMMUNITY BASED IN HOME SERVICES
Practice address
2221 Elm St
Rawlins, WY 82301-5108
Phone
(307) 324-8252
Fax
(307) 324-8236
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Darlene K Marcotte
Title
Clinic Office Coordinator
Phone
(307) 324-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 251B00000X WY Primary

Addresses

Primary practice location

2221 Elm St
Rawlins, WY 82301-5108

Mailing address

2221 Elm St
PO Box 460
Rawlins, WY 82301-5108
Phone (307) 324-8252

National Provider Directory

National Provider Directory
Tax ID family
Mem Hosp Carbon Co DME8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1871895441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 ELM ST",
            "address_2": "PO BOX 460",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015108",
            "telephone_number": "307-324-8252",
            "fax_number": "307-324-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 ELM ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015108",
            "telephone_number": "307-324-8252",
            "fax_number": "307-324-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF CARBON COUNTY COMMUNITY BASED IN HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC OFFICE COORDINATOR",
        "authorized_official_telephone_number": "307-324-8252"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.