Organization Active NPI

County of Uinta

  • Public Health or Welfare Agency
  • Evanston, WY
National Provider Identifier
1043328719
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
690830022 Issued in WY
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

Updated by the provider on Dec 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107301000MedicaidWY

Other names 1

  • Uinta County Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000355 WY Part B Supplier - Public Health/Welfare Agency 2961390109 Practice locations: Evanston, WY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.