NPIMap

Organization Active NPI

Memorial Hospital of Carbon County

  • Clinical Medical Laboratory
  • Rawlins, WY
National Provider Identifier
1992929285
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
53D0662176 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF CARBON COUNTY
Practice address
2221 West Elm STR.
Rawlins, WY 82301
Phone
(307) 324-2221
Fax
(307) 324-8262
NPI assigned
Apr 11, 2007
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
Michelle Keplinger
Title
Cfo
Phone
(307) 324-8347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 53D0662176 WY Primary

Addresses

Primary practice location

2221 West Elm STR.
Rawlins, WY 82301

Mailing address

PO Box 460
Rawlins, WY 82301-0460
Phone (307) 324-2221

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D0662176Memorial Hospital of Carbon County2221 W Elm St, Rawlins, WY 82301ComplianceApr 28, 2027
53D2165578Memorial Hospital of Carbon County Women'S Clinic2221 W Elm Street, 2ND Floor, Rawlins, WY 82301Provider-performed microscopyApr 30, 2027

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1992929285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823010460",
            "telephone_number": "307-324-2221",
            "fax_number": "307-324-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 WEST ELM STR.",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-324-2221",
            "fax_number": "307-324-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF CARBON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "KEPLINGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-324-8347"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WY",
            "license": "53D0662176",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.