MEMORIAL HOSPITAL OF CONVERSE COUNTY
NPI 1285643221
Medicare Defined Swing Bed Unit in Douglas, WY

NPI Status: Active since August 07, 2006

Contact Information

111 S 5TH ST
DOUGLAS, WY
ZIP 82633
Phone: (307) 358-2122
Fax: (307) 358-9216

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About MEMORIAL HOSPITAL OF CONVERSE COUNTY

This page provides the complete NPI Profile along with additional information for Memorial Hospital Of Converse County, a provider established in Douglas, Wyoming operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1285643221 assigned on August 2006. The practitioner's primary taxonomy code is 275N00000X with license number 07163 (WY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Curt Dugger (Cfo)

NPI
1285643221
Provider Name
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Entity Type
Organization
Location Address
111 S 5TH ST DOUGLAS, WY 82633
Location Phone
(307) 358-2122
Location Fax
(307) 358-9216
Mailing Address
111 S 5TH ST P.O. BOX 1450 DOUGLAS, WY 82633
Mailing Phone
(307) 358-2122
Mailing Fax
(307) 358-9216
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-07-2006
Last Update Date
02-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
07163
License State
WY
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CURT DUGGER

Authorized Official Title
CFO
Authorized Official Phone
(307) 358-2122

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
53Z302MEDICARE OSCAR/CERTIFICATION (06)WY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285643221
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165124624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 4 + 6 + 2 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1285643221 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487616553 KELLIE DALE CLAUSEN F.N.P.
Individual
Nurse Practitioner (Family)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1558325068MRS. BONNIE A RICHARDS OTR/L
Individual
Occupational Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1326085408MEMORIAL HOSPITAL OF CONVERSE COUNTY
Organization
General Acute Care Hospital (Critical Access)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1932118189DR. CRAIG S CAPRON DPM
Individual
Podiatrist (Foot & Ankle Surgery)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-8432
1457461774 WILLIAM LESLIE WHITE M.D.
Individual
Surgery111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1568564128DR. DENNIS S YUTANI MD
Individual
Radiology (Diagnostic Radiology)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-7336
1992808398 JONATHAN L GROSDIDIER M.D.
Individual
Surgery111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1912007212 JOHN P THALKEN MD
Individual
Internal Medicine111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1912058165POWDER RIVER IMAGING, LLC
Organization
Clinic/Center (Radiology, Mobile)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1114123148 JANET S PISACKA M.S.O.T.
Individual
Occupational Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1093914111NORTH PLATTE PHYSICAL THERAPY SERVICES, INC.
Organization
Physical Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1346433554 DEEANNE JOY JOHNSON-ENGLE M.D.
Individual
Family Medicine111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122
1386872851 NATHANIEL JOHN EAKINS DPT
Individual
Physical Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1417282070 KELSEY MICHELLE NELSON MOTR/L
Individual
Occupational Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1609107259 JESSICA MCWILLIAMS OTRL
Individual
Occupational Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1093060204 JESSICA MICHELLE MANGUS D.P.T.
Individual
Physical Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1134183080DR. BRIAN SCOTT RETHERFORD M.D.
Individual
Obstetrics & Gynecology111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-7365
1942264122MR. CHARLES ROBERT MANGUS P.T.
Individual
Physical Therapist111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-9464
1780698332 KATHRYN A SKUZA M.D.
Individual
Pediatrics (Pediatric Endocrinology)111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-7373
1275876328WYOMING EM-I MEDICAL SERVICES, P.C.
Organization
Physician Assistant111 S 5TH ST
DOUGLAS, WY 82633
(307) 358-2122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285643221, enumerated in the NPI registry as an "organization" on August 07, 2006

The provider is located at 111 S 5th St Douglas, Wy 82633 and the phone number is (307) 358-2122

This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Mountain Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.