NPIMap

Organization Active NPI

North Lincoln County Hospital District

Doing business as Star Valley Medical Center

  • Critical Access Hospital
  • Afton, WY
National Provider Identifier
1255376406
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
06138 Issued in WY
Legal business name
NORTH LINCOLN COUNTY HOSPITAL DISTRICT
Doing business as
Star Valley Medical Center
Star Valley Health
Practice address
901 Adams St
Afton, WY 83110-9621
Phone
(307) 885-5800
Fax
(307) 885-5865
NPI assigned
Jun 19, 2006
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Daniel Ordyna
Title
Ceo
Phone
(307) 885-5800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X 06138 WY Primary

Addresses

Primary practice location

901 Adams St
Afton, WY 83110-9621

Mailing address

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800

Other identifiers 3

IdentifierTypeStateIssuer
114481201MedicaidWY
114481210MedicaidWY
114481200MedicaidWY

Other names 2

  • STAR VALLEY MEDICAL CENTER Doing business as
  • Star Valley Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031208000415 WY Part B Supplier - Clinic/Group Practice 4789580218 Receives reassigned benefits from 127 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evanston, WY; Rock Springs, WY; Pinedale, WY; Lyman, WY; Lander, WY; Kemmerer, WY; Diamondville, WY; Cokeville, WY…
O20101103000284 WY Part A Provider - Critical Access Hospital 4789580218 Receives reassigned benefits from 95 practitioners
Practice locations: Thayne, WY; Alpine, WY; Afton, WY
O20120330000616 WY Part A Provider - Critical Access Hospital 4789580218 Practice locations: Afton, WY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1255376406. Details of each certification follow.

Hospital certification: CCN 531313

Legal name
NORTH LINCOLN COUNTY HOSPITAL DISTRICT
Doing business as
STAR VALLEY HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2004
Last certification
Sep 25, 2025
Beds
22
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
901 Adams St
Afton, WY 83110-9621
Other Hospital Practice Location

Hospital certification: CCN 53Z313

Legal name
NORTH LINCOLN COUNTY HOSPITAL DISTRICT
Doing business as
STAR VALLEY HEALTH
Organization structure
OtherNon-profit
Enrollment address
901 Adams St
Afton, WY 83110-9621

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Star Valley Medical CenterCCN 531313 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

67 Doc Perkes
Afton, WY 83110
Phone (307) 885-7878

122 Petersen Pkwy
Ste 4
Thayne, WY 83127
Phone (307) 736-3636

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
North Lincoln County Hospital District Organization, Afton, WY 5% Or Greater Direct Ownership Interest Oct 15, 1999
Other Dec 15, 2011 100%
Scott Graham Individual Corporate OfficerCfo Jan 1, 2023
W-2 Managing EmployeeCfo Jan 1, 2023
Corporate OfficerCfo Dec 1, 2022
W-2 Managing EmployeeCfo Dec 1, 2022
Operational/Managerial ControlCfo Dec 1, 2022
Daniel R Ordyna Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Star Valley Care CenterAfton, WY, CCN 535059 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 13, 2006

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 122

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 122

Affiliated clinicians 122

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1255376406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621",
            "telephone_number": "307-885-5800",
            "fax_number": "307-885-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621",
            "telephone_number": "307-885-5800",
            "fax_number": "307-885-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LINCOLN COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "ORDYNA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-885-5800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WY",
            "license": "06138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114481201",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114481210",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114481200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Valley Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Afton, WY

Sources for this page

Verify at the official NPI Registry.