CASTLE ROCK SPECIAL HOSPITAL DISTRICT (NPI# 1013057173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013057173 |
Entity Type | Organization |
Organization Name | CASTLE ROCK SPECIAL HOSPITAL DISTRICT |
Other Organization Name | WY BREAST AND CERVICAL EARLY DETECTION PROGRAM |
Practice Address |
1400 Uinta Dr Green River WY 82935-5046 |
Mailing Address |
Po Box 219 Green River WY 82935-0219 |
Practice Telephone | 3078724500 |
Practice Fax Number | 3078724595 |
Mailing Telephone | 3078724500 |
Mailing Fax Number | 3078724595 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SUSAN BYBEE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3078724530 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WY Breast and Cervical Early Detection Program | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134275175 | Castle Rock Special Hospital District | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2007-01-25 |
1952457996 | Castle Rock Special Hospital District | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
1043366081 | Castle Rock Special Hospital District | Clinical Medical Laboratory | 1400 Uinta Dr, Green River, WY 82935-5046 | 2007-01-25 |
1205982246 | Castle Rock Special Hospital District | Ambulance | 1400 Uinta Dr, Green River, WY 82935-5046 | 2007-01-25 |
1649326687 | Castle Rock Special Hospital District | Radiologic Technologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
1023164068 | Castle Rock Special Hospital District | Durable Medical Equipment & Medical Supplies | 1445 Uinta Dr, Green River, WY 82935-5004 | 2007-01-25 |
1740206382 | Castle Rock Special Hospital District | Family Medicine | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-07-15 |
Street Address |
1400 UINTA DR |
City | GREEN RIVER |
State | WY |
Zip Code | 82935-5046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306892047 | Kristine F Sherwin | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-05-25 |
1881242816 | Julianne E Forrester | Registered Nurse | 1400 Uinta Dr, Green River, WY 82935-5060 | 2019-09-03 |
1023356326 | Gerry C Smith | Occupational Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2013-01-21 |
1215285366 | Joel Robertson | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5060 | 2012-08-21 |
1821393158 | Sara R Thompson | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2011-01-18 |
1265760714 | Castle Rock Physical Therapy | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-11-20 |
1740414689 | Ihc Health Services Inc | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-05-06 |
1225271885 | Connie Aileen Fauntleroy | Pediatrics | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-04-13 |
1215102132 | Christa J Vandervort | Speech-Language Pathologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2008-04-23 |
1952457996 | Castle Rock Special Hospital District | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
Find all providers in zip 82935 |
Taxonomy Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265965776 | Wendy Elizabeth Braund | Preventive Medicine | 6101 Yellowstone Rd, Suite 420, Cheyenne, WY 82009-3445 | 2017-04-11 |
1316263593 | Sateesh Ramkishan Devagupthapu | Preventive Medicine | 433 E 19th St, Cheyenne, WY 82001-4643 | 2010-04-14 |
1922121318 | Jasper James Chen | Preventive Medicine | 2600 E 18th St, Cheyenne, WY 82001-5511 | 2007-04-09 |
City | GREEN RIVER |
Zip Code | 82935 |
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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.