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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106178003 | 05 | |
| WY | 106178007 | 05 |
| Other Name | Type Code |
|---|---|
| Hulett Clinic | Other Name - Individual/Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CROOK COUNTY MEDICAL SERVICES DISTRICT | 713 Oak St, Sundance, WY 82729-5172 |
| Street Address |
122 MAIN STREET |
| City | HULETT |
| State | WY |
| Zip Code | 82720 |
| 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 Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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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| 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.