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CAH531312-00 West Park Hospital District (Active)
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Main Details
Name
West Park Hospital District
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH531312-00
Medicare Provider Number
531312
Additional Details
Current Program Status
Active
Registration Date
4/18/2012
Participating Start Date
7/1/2012
Participating Approval Date
5/23/2012
Last Recertification Date
8/29/2024
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
707 Sheridan Ave
Cody, WY 82414
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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