County of Sublette

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

106499101 Issued in WY

Legal business name

COUNTY OF SUBLETTE

Doing business as

Sublette County Public Health

Practice address

619 E. Hennick Street
Pinedale, WY 82941-0517

Phone

(307) 367-2157

Fax

(307) 367-2689

NPI assigned

Jul 9, 2006

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dereth Gehlhausen, RN, BSN

Title

County Nurse Manager

Phone

(307) 367-2157

Specialties & licenses 1

Addresses

Other names 1

• Sublette County Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Tax ID family

Sublette County Public Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sublette County Public Health

  • Registered Nurse
  • Pinedale, WY
  • NPI 1902106628
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1013940055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E. HENNICK ST.",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829410517",
            "telephone_number": "307-367-2157",
            "fax_number": "307-367-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E. HENNICK STREET",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829410517",
            "telephone_number": "307-367-2157",
            "fax_number": "307-367-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUBLETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "GEHLHAUSEN",
        "authorized_official_first_name": "DERETH",
        "authorized_official_title_or_position": "COUNTY NURSE MANAGER",
        "authorized_official_telephone_number": "307-367-2157",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": "106499101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sublette County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blum Integrative Psychotherapy, LLC
• Earl Brown Jr., BS,MPA
• Stephanie Megan Bruce, P.T.
• Emily Burstad, OTD
• Clear Creek Vision Care, P.C.
• Crossroads Counseling & Case Management LLC
• Cassandra Lois Crumpton
• Rick Ditton, BS PSY
• Jackie Downie, LCSW
• Joshua Howard Francis, D.D.S.

• Public Health or Welfare Agency in Pinedale, WY
• Providers in Pinedale, WY by specialty
• Public Health or Welfare Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.