Uinta Senior Citizens

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

07-112 Issued in WY

Legal business name

UINTA SENIOR CITIZENS

Doing business as

Uinta Hospice

Practice address

1229 Uinta St
Evanston, WY 82930-3236

Phone

(307) 789-7712

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Blakeman

Title

Administrator

Phone

(307) 789-7712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Uinta Hospice Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1265501613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 UINTA ST",
            "address_2": "P.O. BOX 728",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303236",
            "telephone_number": "307-789-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 UINTA ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303236",
            "telephone_number": "307-789-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTA SENIOR CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BLAKEMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-789-7712"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WY",
            "license": "07-112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109190501",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uinta Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Uinta Senior Citizens (Uinta Home Health and Hospice)
• Uinta Spine Align (Davidson Chiropractic Clinic Evanston)
• Uinta Urgent Care
• David Underwood, PEER SPECIALIST
• University of Utah Adult Services (EVANSTON REGIONAL HOSPITAL, CLINIC-Interventional Cardiology)
• University of Utah Adult Services (EVANSTON REGIONAL HOSPITAL-Emergency Physicians)

• Community Based Hospice Care Agency in Evanston, WY
• Providers in Evanston, WY by specialty
• Community Based Hospice Care Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.