Organization Active NPI

County of Converse

Doing business as Converse County Health Department

  • Public Health or Welfare Agency
  • Douglas, WY
National Provider Identifier
1255438651
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CONVERSE
Doing business as
Converse County Health Department
Converse County Public Health
Practice address
255 N Russell Ave
Douglas, WY 82633-2315
Phone
(307) 358-2536
Fax
(307) 358-3941
NPI assigned
Sep 20, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Andrea Renee Hiser
Title
Office Manager
Phone
(307) 358-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

255 N Russell Ave
Douglas, WY 82633-2315

Mailing address

255 N Russell Ave
Douglas, WY 82633-2315
Phone (307) 358-2536

Other practice location 1

525 E Birch St
Glenrock, WY 82637
Phone (307) 436-3474

Other identifiers 1

IdentifierTypeStateIssuer
107236600MedicaidWY

Other names 2

  • Converse County Health Department Doing business as
  • Converse 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
O20040615001285 WY Part B Supplier - Public Health/Welfare Agency 3375436116 Practice locations: Douglas, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2047894Converse County Public Health255 N Russell Ave, Douglas, WY 82633Provider-performed microscopyOct 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Converse County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

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

Locations

218 N 2nd St
Douglas, WY 82633
Phone (307) 358-4275

230 N 2nd St
Douglas, WY 82633
Phone (307) 358-4275

255 N Russell Ave
Douglas, WY 82633
Phone (307) 358-2536

442 E Center St
Douglas, WY 82633
Phone (307) 358-2536

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1255438651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N RUSSELL AVE",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332315",
            "telephone_number": "307-358-2536",
            "fax_number": "307-358-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N RUSSELL AVE",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332315",
            "telephone_number": "307-358-2536",
            "fax_number": "307-358-3941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Birch St",
            "address_purpose": "LOCATION",
            "city": "Glenrock",
            "state": "WY",
            "postal_code": "82637",
            "country_code": "US",
            "telephone_number": "307-436-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF CONVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HISER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-358-2536"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107236600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Converse County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Converse County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.