CROOK COUNTY MEDICAL SERVICES DISTRICT


Address: 122 Main Street, Hulett, WY 82720
Phone: 3074675281

CROOK COUNTY MEDICAL SERVICES DISTRICT (NPI# 1912075102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912075102
Entity Type Organization
Organization Name CROOK COUNTY MEDICAL SERVICES DISTRICT
Other Organization Name HULETT CLINIC
Practice Address 122 Main Street
Hulett
WY 82720
Mailing Address Po Box 517
713 Oak Street
Sundance
WY 82729-0517
Practice Telephone 3074675281
Practice Fax Number 3072832255
Mailing Telephone 3072833501
Mailing Fax Number 3072832255
Enumeration Date 2006-12-04
Last Update Date 2020-10-16
Authorized Official Name MICKI DAHNE LYONS (CEO)
Authorized Official Telephone 3072833501
Authorized Official Credential DNP
Is Organization Subpart Y
Parent Organization Name CROOK COUNTY MEDICAL SERVICES DISTRICT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WY 106178003 05
WY 106178007 05

Other Provider/Organization Names

Other Name Type Code
Hulett Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447328638 Crook County Medical Services District Family Medicine 208 N Big Horn Ave, Moorcroft, WY 82721 2006-12-04
1225337181 Crook County Medical Services District General Acute Care Hospital 713 Oak Street, Sundance, WY 82729-0517 2011-03-17
1518081678 Crook County Medical Services District Family Medicine 713 Oak Street, Sundance, WY 82729 2007-03-16
1538229794 Crook County Medical Services District Durable Medical Equipment & Medical Supplies 713 Oak Street, Sundance, WY 82729 2006-12-11
1114086402 Crook County Medical Services District Long Term Care Hospital 713 Oak Street, Sundance, WY 82729-0517 2006-12-06
1245308428 Crook County Medical Services District Family Medicine 713 Oak Street, Sundance, WY 82729 2006-12-04
1366510232 Crook County Medical Services District Home Health 713 Oak Street, Sundance, WY 82729-0517 2006-12-01
1093883977 Crook County Medical Services District Hospice Care, Community Based 713 Oak Street, Sundance, WY 82729 2006-12-01
1871660159 Crook County Medical Services District Nursing Facility/Intermediate Care Facility 713 Oak Street, Sundance, WY 82729-0517 2006-11-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CROOK COUNTY MEDICAL SERVICES DISTRICT 713 Oak St, Sundance, WY 82729-5172

Office Location

Street Address 122 MAIN STREET
City HULETT
State WY
Zip Code 82720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962544221 Hulett Emergency Medical Service Inc. Emergency Medical Technician, Intermediate 119 Hill Street, Hulett, WY 82720 2007-02-13
1588167787 Carmen M Harrison Registered Nurse 201 Park St, Hulett, WY 82720 2018-03-14

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265047773 Backcountry Dox, LLC Family Medicine 1320 Morado Dr, Casper, WY 82609 2020-09-11
1639781875 Relymd Medical Group, LLC Family Medicine 1920 Thomes Ave Ste 610, Cheyenne, WY 82001-3548 2020-08-19
1689207722 South Lincoln Hospital District Family Medicine 195 Feather Way Stop 100, Evanston, WY 82930-9352 2020-02-18
1366000580 Midwest/edgerton Medical Services, Inc. Family Medicine 531 Peake St., Midwest, WY 82643 2019-06-03
1164906467 American Medical Associates, Inc Family Medicine 109 E 17th St Ste 25, Cheyenne, WY 82001-4548 2018-09-21
1578057196 Chere A Bohr Family Medicine 2508 E Fox Farm Rd Ste 512, Cheyenne, WY 82007-2559 2018-06-18
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1043747181 Caroline Lamar Pihl Family Medicine 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 2017-05-19
1235503459 South Lincoln Hospital District Family Medicine 195 Feather Way Ste 100, Evanston, WY 82930-9352 2015-11-26
1871994301 Theresa Marie Karter Family Medicine 32 Sage Dr, Cody, WY 82414-8228 2014-09-16
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City HULETT
Zip Code 82720

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Dataset Information

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.

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