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CAH531312-06 West Park Hospital District (Active)
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Main Details
Name
West Park Hospital District
Subdivision Name
Cody Regional Health Rural Health Clinic - OB/GYN Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH531312-06
Medicare Provider Number
531312
Outpatient Facility Provider Number
533401
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
Cody Regional Health
Hannah McRae, CFO
(307) 578-2490
Primary Contact
Cody Regional Health
Doug Wenke, Director of Pharmacy
(307) 578-2273
Addresses
Street Address
424 Yellowstone Ave.
330
Cody, WY 82414
Billing Address
West Park Hospital District
707 Sheridan Ave.
Cody, WY 82414
Comments
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