Provider Demographics
NPI:1669570222
Name:JOHNSON COUNTY RURAL HEALTH CARE DISTRICT
Entity type:Organization
Organization Name:JOHNSON COUNTY RURAL HEALTH CARE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITNI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-684-2251
Mailing Address - Street 1:PO BOX 1240
Mailing Address - Street 2:351 N ADAMS AVE
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834
Mailing Address - Country:US
Mailing Address - Phone:307-461-2165
Mailing Address - Fax:307-460-7553
Practice Address - Street 1:351 N ADAMS AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-1782
Practice Address - Country:US
Practice Address - Phone:307-684-2251
Practice Address - Fax:307-684-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0440130Medicaid
WY108401100Medicaid
WY108401100Medicaid