SOUTH LINCOLN HOSPITAL DISTRICT (NPI# 1710081260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081260 |
| Entity Type | Organization |
| Organization Name | SOUTH LINCOLN HOSPITAL DISTRICT |
| Other Organization Name | SOUTH LINCOLN MEDICAL CENTER |
| Practice Address |
711 Onyx Street 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 | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
06-148 | WY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 105993905 | 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 |
| 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 |
| 1972743011 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
| Street Address |
711 ONYX STREET |
| City | KEMMERER |
| State | WY |
| Zip Code | 83101-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629172176 | South Lincoln Hospital District | Nursing Facility/Intermediate Care Facility | 711 Onyx Street, Kemmerer, WY 83101-3214 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082785 | Natosha Clatterbaugh | Speech-Language Pathologist | 1208 Elk Street, Kemmerer, WY 83101 | 2007-04-17 |
| 1962898080 | Benjamin Head | Student in an Organized Health Care Education/Training Program | 711 Onyx St, Kemmerer, WY 83101 | 2015-04-15 |
| 1386716710 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101 | 2006-11-14 |
| 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 |
| Find all providers in zip 83101 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
| 1528236247 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2008-02-15 |
| 1528242435 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1952585861 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1205010113 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1366626269 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1265616171 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1912181827 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1336289552 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2007-02-07 |
| 1396842308 | Lander Valley Medical Center LLC | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-09-20 |
| 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.