NPIMap

Organization Active NPI

West Park Hospital District

Doing business as Cody Regional Health Walk in Clinic

  • Clinic/Center
  • Cody, WY
National Provider Identifier
1043200041
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
06-003 Issued in WY
Legal business name
WEST PARK HOSPITAL DISTRICT
Doing business as
Cody Regional Health Walk in Clinic
Practice address
424 Yellowstone Ave
Suite 120
Cody, WY 82414
Phone
(307) 578-2907
Fax
(307) 587-1256
NPI assigned
Oct 21, 2005
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dougals Alan McMillan
Title
Ceo
Phone
(307) 578-2489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 06-003 WY Primary

Addresses

Primary practice location

424 Yellowstone Ave
Suite 120
Cody, WY 82414

Mailing address

707 Sheridan Ave
Cody, WY 82414
Phone (307) 578-2480

Other identifiers 3

IdentifierTypeStateIssuer
1081001OtherWYBLUE CROSS
106133017MedicaidWY
307718OtherWYBLUE CROSS

Other names 1

  • CODY REGIONAL HEALTH WALK IN CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000865 WY Part B Supplier - Clinic/Group Practice 7315855624 Receives reassigned benefits from 197 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Powell, WY; Worland, WY; Thermopolis, WY; Meeteetse, WY; Cody, WY; Lovell, WY; Basin, WY

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16076/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1043200041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "82414",
            "telephone_number": "307-578-2480",
            "fax_number": "307-578-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 120",
            "city": "CODY",
            "state": "WY",
            "postal_code": "82414",
            "telephone_number": "307-578-2907",
            "fax_number": "307-587-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DOUGALS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-578-2489"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": "06-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1081001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106133017",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "307718",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CODY REGIONAL HEALTH WALK IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.