NORTH BIG HORN HOSPITAL (NPI# 1750485793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750485793 |
| Entity Type | Organization |
| Organization Name | NORTH BIG HORN HOSPITAL |
| Other Organization Name | NORTH BIG HORN HOSPITAL CLINIC |
| Practice Address |
1115 Lane 12 Lovell WY 82431-9537 |
| Practice Telephone | 3075485201 |
| Practice Fax Number | 3075485224 |
| Mailing Telephone | 3075485201 |
| Mailing Fax Number | 3075485224 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | MR. RICKY A. SCHROEDER (CEO) |
| Authorized Official Telephone | 3075485203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 07-128 | WY | Suppliers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
07-128 | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 107370204 | 05 | |
| MEDICARE RAILROAD | D8557 | 01 |
| Other Name | Type Code |
|---|---|
| North Big Horn Hospital Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379547 | North Big Horn Hospital | Durable Medical Equipment & Medical Supplies | 1115 Lane 12, Lovell, WY 82431-9537 | 2006-03-09 |
| 1396742219 | North Big Horn Hospital | Skilled Nursing Facility | 475 Yellow Creek Road, Evanston, WY 82930-5109 | 2005-07-07 |
| 1467550392 | North Big Horn Hospital | Durable Medical Equipment & Medical Supplies | 1115 Lane 12, Lovell, WY 82431-9537 | 2006-09-21 |
| 1548364615 | North Big Horn Hospital | Durable Medical Equipment & Medical Supplies | 1115 Lane 12, Lovell, WY 82431-9537 | 2006-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH BIG HORN HOSPITAL DISTRICT | 1115 Ln 12, Lovell, WY 82431-9537 |
| Street Address |
1115 LANE 12 |
| City | LOVELL |
| State | WY |
| Zip Code | 82431-9537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379547 | North Big Horn Hospital | Durable Medical Equipment & Medical Supplies | 1115 Lane 12, Lovell, WY 82431-9537 | 2006-03-09 |
| 1558993261 | Ali E Wagner | Nurse Practitioner | 1115 Lane 12, Lovell, WY 82431-9537 | 2020-02-11 |
| 1871076695 | Dirk Schroeder | Speech-Language Pathologist | 1115 Lane 12, Lovell, WY 82431-9537 | 2018-09-07 |
| 1427550300 | Kelly Woodside Kolar | Physician Assistant | 1115 Lane 12, Lovell, WY 82431-9537 | 2018-03-06 |
| 1629588009 | Bradley Smith Hickman | Physician Assistant | 1115 Lane 12, Lovell, WY 82431-9537 | 2017-10-11 |
| 1023481793 | Dawn Irene Hardwick | Nurse Practitioner | 1115 Lane 12, Lovell, WY 82431-9537 | 2015-11-03 |
| 1942612445 | Matthew Allen Beeton | Family Medicine | 1115 Lane 12, Lovell, WY 82431-9537 | 2014-06-02 |
| 1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
| 1447492459 | Neurology Associates Pllc | Psychiatry & Neurology | 1115 Lane 12, Lovell, WY 82431-9537 | 2009-04-06 |
| 1164621777 | North Big Horn Hospital District | Clinic/Center | 1115 Lane 12, Lovell, WY 82431-9537 | 2007-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655580 | Lovell Dental | Dentist | 240 E Main St, Lovell, WY 82431 | 2018-10-19 |
| 1417175381 | Oliver Herbert Mitchell | Chiropractor | 203 Park Ave, Lovell, WY 82431-1622 | 2007-04-23 |
| 1972849537 | Bonnie White | Case Manager/Care Coordinator | 50 W 2nd St Lot 12, Lovell, WY 82431-1701 | 2012-12-28 |
| 1477911766 | Mindy Mickelson | Rehabilitation Counselor | 33 W Main St, Lovell, WY 82431-1714 | 2016-02-02 |
| 1023467024 | Welch Family Dentistry | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2016-06-09 |
| 1396975181 | James G Christiansen | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2009-07-15 |
| 1356495543 | Scott Peterson Welch | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2007-01-23 |
| 1124365713 | Chad Collins Emmett | Pharmacist | 109 E 8th St, Lovell, WY 82431-1806 | 2013-01-16 |
| 1073978920 | Charles Joseph Cordova | Counselor | 730 Montana Ave, Lovell, WY 82431-1810 | 2015-12-18 |
| 1134587306 | Connections Counseling Inc | Counselor | 100 W 10th St, Lovell, WY 82431-1863 | 2016-02-03 |
| Find all providers in zip 82431 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.