SOUTH LINCOLN HOSPITAL DISTRICT (NPI# 1851495436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851495436 |
| 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 | 2006-09-12 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MR. ERIC H BOLEY (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 3078774401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 06-148 | WY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 105993901 | 05 |
| 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 |
| 1033221569 | South Lincoln Hospital District | Hospitalist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2006-08-31 |
| 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 |
| Street Address |
711 ONYX ST |
| City | KEMMERER |
| State | WY |
| Zip Code | 83101-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033221569 | South Lincoln Hospital District | Hospitalist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2006-08-31 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132523 | North Lincoln County Hospital District | Medicare Defined Swing Bed Unit | 901 Adams, Afton, WY 83110-9621 | 2006-05-19 |
| 1891006839 | Memorial Hospital of Carbon County | Medicare Defined Swing Bed Unit | 2221 Elm St, Rawlins, WY 82301-5108 | 2010-06-24 |
| 1134364888 | South Big Horn County Hospital District | Medicare Defined Swing Bed Unit | 388 Us Highway 20 S, Basin, WY 82410-8902 | 2008-12-10 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1184753261 | Memorial Hospital of Sheridan County | Medicare Defined Swing Bed Unit | 1401 W 5th St, Sheridan, WY 82801-2705 | 2007-03-05 |
| 1356493068 | Community Hospital | Medicare Defined Swing Bed Unit | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2007-01-16 |
| 1457403073 | Platte County Memorial Hospital | Medicare Defined Swing Bed Unit | 201 14th St, Wheatland, WY 82201-3201 | 2007-01-16 |
| 1366594988 | Washakie Medical Center | Medicare Defined Swing Bed Unit | 400 S 15th St, Worland, WY 82401-3531 | 2007-01-16 |
| 1780745885 | Powell Valley Health Care Inc | Medicare Defined Swing Bed Unit | 777 Avenue H, Powell, WY 82435-2260 | 2006-12-12 |
| 1407914286 | Hot Springs County Hospital District | Medicare Defined Swing Bed Unit | 150 E Arapahoe St, Thermopolis, WY 82443-2402 | 2006-12-05 |
| 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.