Active NPI
County of Converse
Doing business as Converse County Health Department
- Public Health or Welfare Agency
- Douglas, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107236600 | Medicaid | WY |
Other names 2
- Converse County Health Department
- Converse County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615001285 | WY | Part B Supplier - Public Health/Welfare Agency | 3375436116 | Practice locations: Douglas, WY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2047894 | Converse County Public Health | Provider-performed microscopy | Oct 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Converse County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Douglas, WY
- NPI 1033263447
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.