SOUTH BIG HORN COUNTY HOSPITAL DISTRICT (NPI# 1013919794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013919794 |
| Entity Type | Organization |
| Organization Name | SOUTH BIG HORN COUNTY HOSPITAL DISTRICT |
| Other Organization Name | SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL |
| Practice Address |
388 South Us Hwy 20 Basin WY 82410-8902 |
| Practice Telephone | 3075683311 |
| Practice Fax Number | 3075682139 |
| Mailing Telephone | 3075683311 |
| Mailing Fax Number | 3075682139 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MR. ROBERT JOHN ADLESICH (ADMINISTRATOR) |
| Authorized Official Telephone | 3075683311 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BIG HORN COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
06-139 | WY | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 116049400 | 05 | |
| WY | BLUECROSS | 7385 | 01 |
| WY | 116049401 | 05 | |
| WY | BLUE SHIELD | 007385 | 01 |
| Other Name | Type Code |
|---|---|
| South Big Horn County Critical Access Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134364888 | South Big Horn County Hospital District | Medicare Defined Swing Bed Unit | 388 Us Highway 20 S, Basin, WY 82410-8902 | 2008-12-10 |
| 1811901515 | South Big Horn County Hospital District | Clinic/Center | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-07-28 |
| 1073535712 | South Big Horn County Hospital District | Skilled Nursing Facility | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-07-24 |
| Street Address |
388 SOUTH US HWY 20 |
| City | BASIN |
| State | WY |
| Zip Code | 82410-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699838862 | Howard T Willson | Family Medicine | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-12-19 |
| 1811901515 | South Big Horn County Hospital District | Clinic/Center | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-07-28 |
| 1073535712 | South Big Horn County Hospital District | Skilled Nursing Facility | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123206 | Kara Magid | Occupational Therapist | 406 South 4th Street, Basin, WY 82410 | 2020-04-16 |
| 1154853398 | Marietta Camra Miller | Licensed Practical Nurse | 617 Zane Ave, Basin, WY 82410 | 2017-03-28 |
| 1548656242 | White Line LLC | Ambulance | 419 W C Street, Basin, WY 82410 | 2015-04-09 |
| 1043644545 | Big Horn Basin Association Adolescent Programs | Foster Care Agency | 967 Hwy 20 South, Basin, WY 82410 | 2013-09-03 |
| 1417399775 | Whitney Jay Neves | Physical Therapist | 406 S. 4th St, Basin, WY 82410 | 2013-07-26 |
| 1154571271 | Rosemary Newton | Registered Nurse | 453 North 5th Street, Basin, WY 82410 | 2008-09-25 |
| 1508014382 | Debbie Lee Crist | Speech-Language Pathologist | 115 South 4th St, Basin, WY 82410 | 2008-09-04 |
| 1679739213 | Deborah Ann Franko Lane | Registered Nurse | 116 South 3rd St., Basin, WY 82410 | 2008-08-04 |
| 1528242674 | Christine Mae Smith | Registered Nurse | 205 South 8th Street, Basin, WY 82410 | 2007-12-26 |
| 1225256027 | Ralph Henry Louis Jr. | Psychologist | 116 South 3rd Street, Basin, WY 82410 | 2007-04-24 |
| Find all providers in zip 82410 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052989 | Platte County Memorial Hospital | General Acute Care Hospital | 1 E Whalen St, Guernsey, WY 82214 | 2017-06-06 |
| 1255376406 | North Lincoln County Hospital District | General Acute Care Hospital | 901 Adams St, Afton, WY 83110-9621 | 2006-06-19 |
| 1427091347 | Niobrara County Hospital District | General Acute Care Hospital | 921 S Ballancee Avenue, Lusk, WY 82225 | 2006-06-14 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1518495498 | Platte County Memorial Hospital | General Acute Care Hospital | 1551 Brice St, Wheatland, WY 82201-3505 | 2017-05-23 |
| 1073064705 | Jack Hildner | General Acute Care Hospital | 1001 West Main Street, Riverton, WY 82501 | 2016-10-18 |
| 1740665983 | Community Hospital | General Acute Care Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2015-07-29 |
| 1225337181 | Crook County Medical Services District | General Acute Care Hospital | 713 Oak Street, Sundance, WY 82729-0517 | 2011-03-17 |
| 1710298757 | Memorial Hospital of Carbon County | General Acute Care Hospital | 2221 Elm St, Rawlins, WY 82301-0460 | 2010-06-24 |
| 1972743011 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.