NPIMap

Organization Active NPI

Sublette County Hospital District

Doing business as Sublette Ambulance

  • Paramedic
  • Pinedale, WY
National Provider Identifier
1205420601
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Legal business name
SUBLETTE COUNTY HOSPITAL DISTRICT
Doing business as
Sublette Ambulance
Practice address
635 E Hennick St
Pinedale, WY 82941-5228
Phone
(307) 367-2315
Fax
(307) 459-2431
NPI assigned
Feb 25, 2021
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Rex Walk
Title
Chief Executive Officer
Phone
(307) 367-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X NU Primary

Addresses

Primary practice location

635 E Hennick St
Pinedale, WY 82941-5228

Mailing address

PO Box 544
Pinedale, WY 82941-0544
Phone (307) 367-2315

Other names 2

  • Sublette Ambulance Doing business as
  • Sublette County EMS Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sublettehospitaldistrict.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526003401 WY Part B Supplier - Ambulance Service Supplier 5496163461 Practice locations: Pinedale, WY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sublette County Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sublette County HealthPinedale, WY, CCN 531320 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Heritage HomePinedale, WY, CCN 535017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1205420601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829410544",
            "telephone_number": "307-367-2315",
            "fax_number": "307-459-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E HENNICK ST",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415228",
            "telephone_number": "307-367-2315",
            "fax_number": "307-459-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLETTE COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "307-367-0150"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sublettehospitaldistrict.org",
            "affiliation": "N",
            "address_1": "635 E Hennick St",
            "city": "Pinedale",
            "state": "WY",
            "country_code": "US",
            "postal_code": "829415228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sublette Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sublette County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pinedale, WY

Sources for this page

Verify at the official NPI Registry.