Provider Demographics
NPI:1154402972
Name:WESTON COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:WESTON COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CADWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-746-4491
Mailing Address - Street 1:1124 WASHINGTON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WY
Mailing Address - Zip Code:82701-2972
Mailing Address - Country:US
Mailing Address - Phone:307-746-4491
Mailing Address - Fax:307-746-4579
Practice Address - Street 1:1124 WASHINGTON BOULEVARD
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WY
Practice Address - Zip Code:82701
Practice Address - Country:US
Practice Address - Phone:307-746-4491
Practice Address - Fax:307-746-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY07155207PE0004X, 208600000X, 275N00000X, 282N00000X, 282NC0060X
WY10330282NR1301X
282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282NR1301XHospitalsGeneral Acute Care HospitalRuralGroup - Single Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Single Specialty
No282NC0060XHospitalsGeneral Acute Care HospitalCritical AccessGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5530880Medicaid
MN5530880Medicaid
SD0130880Medicaid
WY114292503Medicaid
WY114292507Medicaid
MN2136352100Medicaid
WY114292500Medicaid
MT0413803Medicaid
WY114292501Medicaid
WY53Z303Medicare Oscar/Certification
WY114292507Medicaid
SD0130880Medicaid
SD5530880Medicaid