Active NPI
County of Uinta
- Public Health or Welfare Agency
- Evanston, WY
National Provider Identifier
1043328719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 690830022
- Legal business name
- COUNTY OF UINTA
- Practice address
- 350 City View Dr
Ste 101
Evanston, WY 82930-5327 - Phone
- (307) 789-9203
- Fax
- (307) 789-6635
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Arnold, RN
- Title
- Nurse Manager
- Phone
- (307) 789-9203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 690830022 | WY | Primary |
Addresses
Primary practice location
350 City View Dr
Ste 101
Evanston, WY 82930-5327
Mailing address
225 9TH St
Evanston, WY 82930-3415
Phone (307) 783-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107301000 | Medicaid | WY |
Other names 1
- Uinta County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000355 | WY | Part B Supplier - Public Health/Welfare Agency | 2961390109 | Practice locations: Evanston, WY |
National Provider Directory
National Provider DirectoryLocations
350 City View Dr
Ste 101
Evanston, WY 82930
Phone (307) 789-9203
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Public Health or Welfare Agency
- Evanston, WY
- NPI 1154844496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387411200000",
"number": "1043328719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 9TH ST",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303415",
"telephone_number": "307-783-0300",
"fax_number": "307-789-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CITY VIEW DR",
"address_2": "STE 101",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305327",
"telephone_number": "307-789-9203",
"fax_number": "307-789-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF UINTA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2013-12-19",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "NURSE MANAGER",
"authorized_official_telephone_number": "307-789-9203",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WY",
"license": "690830022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107301000",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Uinta County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.