BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC (NPI# 1669818969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669818969 |
| Entity Type | Organization |
| Organization Name | BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC |
| Practice Address |
424 Yellowstone Ave Suite 150 Cody WY 82414-9309 |
| Mailing Address |
1633 Church St Suite 500 Nashville TN 37203-2990 |
| Practice Telephone | 3075782223 |
| Practice Fax Number | 3075782217 |
| Mailing Telephone | 6153273061 |
| Mailing Fax Number | 6153292513 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. WILLIAM E WOOD II (PRESIDENT OF MEMBER) |
| Authorized Official Telephone | 6153273061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
424 YELLOWSTONE AVE SUITE 150 |
| City | CODY |
| State | WY |
| Zip Code | 82414-9309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157484 | Barry Peterson Welch | Ophthalmology | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2005-07-13 |
| 1477192243 | West Park Hospital District | Clinic/Center | 424 Yellowstone Ave, Cody, WY 82414-9309 | 2019-12-27 |
| 1093185191 | Stephen Rogers | Physician Assistant | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9309 | 2015-10-01 |
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1518239391 | Courtney Spence | Internal Medicine | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2012-02-08 |
| 1003050253 | Big Horn Foot Clinic, PC | Podiatrist | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9318 | 2009-04-30 |
| 1467617266 | Alisa K Stewart | Optometrist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2008-07-22 |
| 1124220645 | Northern Wyoming Ophthalmology, P.C. | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-3423 | 2007-06-05 |
| 1811022429 | Nancy Winkler | Nurse Practitioner | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2007-02-22 |
| 1477527299 | Lisa Ellen Harvey | Family Medicine | 424 Yellowstone Ave, Ste 120, Cody, WY 82414 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815744 | West Park Hospital District | Clinic/Center | 707 Sheridan Ave, Cody, WY 82414-3409 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392261 | Usrc Casper, LLC | Clinic/Center | 1300 Venture Way, Suite 100, Casper, WY 82609-4353 | 2016-08-31 |
| 1790824530 | Shoshone Tribe | Clinic/Center | 11 Shipton Lane, Fort Washakie, WY 82514 | 2007-02-06 |
| 1952413759 | Bio-medical Applications of Wyoming LLC | Clinic/Center | 1739 Meadowland Drive, Cheyenne, WY 82009-5249 | 2006-08-31 |
| 1255304051 | Evanston Hospital Corporation | Clinic/Center | 112 Yellow Creek Rd, Evanston, WY 82930-9266 | 2006-02-10 |
| 1508837865 | Wyoming Kidney Center, LLC | Clinic/Center | 1141 Wilkins Cir, Casper, WY 82601-1332 | 2006-01-26 |
| 1730562372 | Watt Dialysis Center LLC | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-07-01 |
| 1609932383 | Billings Clinic | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2006-12-28 |
| 1144313255 | Campbell County Hospital District | Clinic/Center | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-10-02 |
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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.