SOUTH LINCOLN HOSPITAL DISTRICT (NPI# 1033221569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033221569 |
Entity Type | Organization |
Organization Name | SOUTH LINCOLN HOSPITAL DISTRICT |
Other Organization Name | SOUTH LINCOLN MEDICAL CENTER |
Practice Address |
711 Onyx St Kemmerer WY 83101-3214 |
Practice Telephone | 3078774401 |
Practice Fax Number | 3078773236 |
Mailing Telephone | 3078774401 |
Mailing Fax Number | 3078773236 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-03-26 |
Authorized Official Name | KARL E SUNDBERG (CEO) |
Authorized Official Telephone | 3078774401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
06-148 | WY | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | BLUE CROSS | 007401 | 01 |
UNION PACIFIC RAILROAD | 5442 | 01 | |
WY | BLUE SHIELD | 00918001 | 01 |
WY | 105993900 | 05 | |
WY | 105993904 | 05 | |
WY | 105993909 | 05 | |
FEDERAL WORKER'S COMP | 185636600 | 01 | |
WY | 105993902 | 05 | |
WY | BLACK LUNG | 320145 | 01 |
Other Name | Type Code |
---|---|
South Lincoln Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
1912462326 | South Lincoln Hospital District | Pharmacy | 2822 Wy 414, Lyman, WY 82937 | 2019-02-11 |
1962940114 | South Lincoln Hospital District | Pharmacy | 613 Moose St, Kemmerer, WY 83101-3519 | 2017-02-08 |
1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
1710081260 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx Street, Kemmerer, WY 83101-3214 | 2006-09-12 |
1861027369 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2020-03-05 |
1649803271 | South Lincoln Hospital District | Clinic/Center | 2624 Commercial Way, Rock Springs, WY 82901-4769 | 2020-02-21 |
1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
1972743011 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
Street Address |
711 ONYX ST |
City | KEMMERER |
State | WY |
Zip Code | 83101-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592953 | Phillip Robert Rutledge | Physician Assistant | 711 Onyx St, Kemmerer, WY 83101-3214 | 2020-06-12 |
1861027369 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2020-03-05 |
1386121986 | Matthew Thomson | Physician Assistant | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1962898080 | Benjamin Head | Student in an Organized Health Care Education/Training Program | 711 Onyx St, Kemmerer, WY 83101 | 2015-04-15 |
1063811867 | Ania Mathews | Pharmacist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2014-08-18 |
1295156768 | Maddie Johnson | Physician Assistant | 711 Onyx St, Kemmerer, WY 83101-3214 | 2013-12-30 |
1316376189 | Parry Davison | Nurse Anesthetist, Certified Registered | 711 Onyx St, Kemmerer, WY 83101-3214 | 2013-11-02 |
1215170311 | Chad William Seiler | Family Medicine | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-04-20 |
1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508082785 | Natosha Clatterbaugh | Speech-Language Pathologist | 1208 Elk Street, Kemmerer, WY 83101 | 2007-04-17 |
1134353998 | Ihc Health Services Inc | Clinic/Center | 702 Onyx St, Kemmerer, WY 83101-0000 | 2009-05-08 |
1952499360 | Robert P. Tyrrell | Dentist | 1702 Antelope, Kemmerer, WY 83101-0228 | 2006-10-11 |
1235107954 | Robert D. Schaffarzick | Optometrist | 816 Klondyke St, Kemmerer, WY 83101-2903 | 2006-03-09 |
1952782930 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 700 Cedar Ave, Suite 201, Kemmerer, WY 83101-2928 | 2015-06-15 |
1770090698 | Scherr Chiropractic Clinic | Chiropractor | 313 Sapphire St, Kemmerer, WY 83101-2950 | 2017-12-30 |
1841331709 | Hna, Inc. | Pharmacy | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2007-02-12 |
1730460221 | Ridley's Family Markets Inc | Pharmacy | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2011-08-29 |
1083743959 | Wesley Rick Somers | Pharmacist | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2007-03-05 |
1487911723 | Jennifer Rosa Benson | Counselor | 821 Sage Ave, Kemmerer, WY 83101-3113 | 2012-04-11 |
Find all providers in zip 83101 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710081260 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx Street, Kemmerer, WY 83101-3214 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
1528236247 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2008-02-15 |
1528242435 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1952585861 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1205010113 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1366626269 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1265616171 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1912181827 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
1336289552 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2007-02-07 |
1396842308 | Lander Valley Medical Center LLC | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-09-20 |
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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.