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CAH531316-00 Memorial Hospital of Carbon County (Active)
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Main Details
Name
Memorial Hospital of Carbon County
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531316-00
Medicare Provider Number
531316
Additional Details
Current Program Status
Active
Registration Date
11/16/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/20/2011
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
Memorial Hospital of Carbon County
Gerald Parton, CEO
(307) 324-8210
Primary Contact
Memorial Hospital of Carbon County
THOMAS A STURM, Director of Pharmacy
(307) 324-8260
Addresses
Street Address
2221 W. Elm St.
Rawlins, WY 82301-0460
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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