South Lincoln Medical Center

LBN: South Lincoln Hospital District
South Lincoln Medical Center is an health care organization with primary practice located at 711 Onyx St , Kemmerer WY 83101-3214. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. South Lincoln Hospital District can be contacted via phone (307) 877-4401, or through Boley, Eric H via phone (307) 877-4401.

Contact Information

Primary practice address
711 Onyx St Kemmerer WY 83101-3214
Phone: (307) 877-4401
Fax: (307) 877-3236
Website:
Map and Directions
Authorized official contact:
Name: Boley, Eric H
Phone: (307) 877-4401

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 52-03675-IP Wyoming
Suppliers / Long Term Care Pharmacy 3336L0003X 52-03675 Wyoming

Profile Details

NPI number 1700910411
LBN Legal business name South Lincoln Hospital District
DBA Doing business as South Lincoln Medical Center
Authorized official Boley, Eric H
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 5th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700910411 NPPES
Wyoming MEDICAID 105993909

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