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CAH531311-00 CROOK COUNTY MEDICAL SERVICES (Active)
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Main Details
Name
CROOK COUNTY MEDICAL SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531311-00
Medicare Provider Number
531311
Additional Details
Current Program Status
Active
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Crook County Medical Services
Micki Lyons, CEO
(307) 283-3501
Primary Contact
Crook County Medical Services
Julie Zaato, Business Office Manager
(307) 283-3501 Ext: 173
Addresses
Street Address
713 E, Oak St., Sundance, WY 82729
SUNDANCE, WY 82729
Billing Address
Crook County Medical Services District
P.O. Box 517
Sundance, WY 82729
Comments
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