PLATTE COUNTY MEMORIAL HOSPITAL
NPI 1184363798
General Acute Care Hospital - Critical Access in Wheatland, WY

Active since June 01, 2022CLIA 53D0677211 · Accreditation
204 15TH ST, WHEATLAND, WY 82201(307) 322-3636(307) 322-5755 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Acute Care Hospital
  • Critical Access
  • CLIA Number: 53D0677211
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About PLATTE COUNTY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Platte County Memorial Hospital, a provider established in Wheatland, Wyoming operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1184363798 assigned on June 2022. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI
1184363798 Verify this NPI
Provider Name
PLATTE COUNTY MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
204 15TH ST WHEATLAND, WY 82201
Location Phone
(307) 322-3636
Location Fax
(307) 322-5755
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-01-2022
Last Update Date
06-01-2022
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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

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals

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

DENNIS LARAWAY

Authorized Official Title
CFO
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D0677211
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. JAKUB STEFKA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Platte County Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PLATTE COUNTY MEMORIAL HOSPITAL

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapy Assistant
204 15TH ST
WHEATLAND, WY 82201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184363798, enumerated as an "organization" on June 01, 2022.

The provider is located at 204 15TH ST WHEATLAND, WY 82201 and the phone number is (307) 322-3636.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.