NPIMap

Organization Active NPI

Hot Springs County Hospital District

Doing business as Big Horn Clinic

  • Family Medicine Physician
  • Basin, WY
National Provider Identifier
1174524607
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOT SPRINGS COUNTY HOSPITAL DISTRICT
Doing business as
Big Horn Clinic
Practice address
156 N. 6TH Street
Basin, WY 82410-0388
Phone
(307) 568-2499
Fax
(307) 568-2699
NPI assigned
Aug 9, 2005
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Natalya Keller
Title
Cfo
Phone
(307) 864-5065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5946A WY
Family Medicine Physician 207Q00000X WY Primary

Addresses

Primary practice location

156 N. 6TH Street
Basin, WY 82410-0388

Mailing address

PO Box 388
156 N 6TH Street
Basin, WY 82410-0388
Phone (307) 568-2499

Other identifiers 1

IdentifierTypeStateIssuer
107327310MedicaidWY

Other names 1

  • Big Horn Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001069 WY Part B Supplier - Clinic/Group Practice 9234020439 Receives reassigned benefits from 44 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Riverton, WY; Shoshoni, WY; Thermopolis, WY; Worland, WY

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1174524607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "address_2": "156 N 6TH STREET",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824100388",
            "telephone_number": "307-568-2499",
            "fax_number": "307-568-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N. 6TH STREET",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824100388",
            "telephone_number": "307-568-2499",
            "fax_number": "307-568-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-864-5065"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5946A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107327310",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Horn Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Basin, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.