SOUTH LINCOLN HOSPITAL DISTRICT (NPI# 1386716710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386716710 |
| Entity Type | Organization |
| Organization Name | SOUTH LINCOLN HOSPITAL DISTRICT |
| Other Organization Name | SOUTH LINCIOLN MEDICAL CLINIC |
| Practice Address |
711 Onyx St Kemmerer WY 83101 |
| Mailing Address |
711 Onyx St Kemmerer WY 83101-3214 |
| Practice Telephone | 3078774401 |
| Practice Fax Number | 3078773236 |
| Mailing Telephone | 3078774401 |
| Mailing Fax Number | 3078773236 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-03-03 |
| 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 | 261Q00000X | Clinic/Center | 06-148 | WY | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS | 00943001 | 01 |
| WY | 106769901 | 05 | |
| WY | WORKER'S COMP | 830267172002 | 01 |
| WY | CHAMPUS | 830267172A001 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTH LINCIOLN MEDICAL CLINIC | Doing Business As Name - Organization |
| South Lincoln Medical Clinic | 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 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084160 | Platte County Memorial Hospital | Clinic/Center | 1 E. Whalen St., Guernsey, WY 82214 | 2017-03-14 |
| 1477789790 | Bartholomew Family Medicine, PC | Clinic/Center | 1208 S. River St, Saratoga, WY 82331-0648 | 2009-06-01 |
| 1659537694 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 717 Pine Street, Upton, WY 82730 | 2008-07-30 |
| 1831242759 | Platte Valley Medical Clinic PC | Clinic/Center | 1208 South River Street, Saratoga, WY 82331 | 2007-01-22 |
| 1487756102 | Medicine Bow Health Center, Inc. | Clinic/Center | 514 Idaho Dr, Medicine Bow, WY 82329-0037 | 2006-09-02 |
| 1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1750311072 | Lusk Medical Clinic | Clinic/Center | 119 West 3rd Street, Lusk, WY 82225 | 2006-07-03 |
| 1184611089 | Noyes Health Care Center Inc | Clinic/Center | 305 Whippoorwill St, Pob 307, Baggs, WY 82321-0307 | 2005-10-05 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| 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.