NPIMap

Organization Active NPI

Memorial Hospital of Carbon County

  • Medicare Defined Swing Bed Hospital Unit
  • Rawlins, WY
National Provider Identifier
1891006839
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
10182 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF CARBON COUNTY
Practice address
2221 Elm St
Rawlins, WY 82301-5108
Phone
(307) 324-8221
Fax
(307) 324-8232
NPI assigned
Jun 24, 2010
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Joy Lynn Coulston
Title
Cfo
Phone
(208) 818-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10182 WY Primary

Addresses

Primary practice location

2221 Elm St
Rawlins, WY 82301-5108

Mailing address

2221 Elm St
P.O. Box 460
Rawlins, WY 82301-5108
Phone (307) 324-2221

Other identifiers 1

IdentifierTypeStateIssuer
107207202MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000784 WY Part A Provider - Critical Access Hospital 9638067176 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Rawlins, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891006839. Details of each certification follow.

Hospital certification: CCN 53Z316

Legal name
MEMORIAL HOSPITAL OF CARBON COUNTY
Organization structure
OtherNon-profit
Enrollment address
2221 W Elm St
Rawlins, WY 82301-5108

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MHCC Energy Basin Clini8 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.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jon Smith Individual Corporate Officer Jun 1, 2019
Lisa D Miller-Wood Individual W-2 Managing Employee Jan 1, 2019
Memorial Hospital of Carbon County Organization, Rawlins, WY Corporation Operational/Managerial Control Mar 25, 2010

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Memorial Hospital of Carbon CountyRawlins, WY, CCN 531316 Hospital Operational/Managerial Control Mar 25, 2010

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1891006839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 ELM ST",
            "address_2": "P.O. BOX 460",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015108",
            "telephone_number": "307-324-2221",
            "fax_number": "307-324-8232"
        },
        {
            "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": "307-324-8221",
            "fax_number": "307-324-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF CARBON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "COULSTON",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-818-4888"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WY",
            "license": "10182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107207202",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.