Organization Active NPI

Glenrock Hospital District

Doing business as glenrock health center

  • Radiography Radiologic Technologist
  • Glenrock, WY
National Provider Identifier
1285854174
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
Legal business name
GLENROCK HOSPITAL DISTRICT
Doing business as
glenrock health center
Practice address
925 W Birch St
Glenrock, WY 82637-0786
Phone
(307) 436-9206
Fax
(307) 436-9730
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mrs. Ashley Marie Oviedo-Lopez, FNPC
Title
Administrator
Phone
(307) 436-9206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3402X WY Primary

Addresses

Primary practice location

925 W Birch St
Glenrock, WY 82637-0786

Mailing address

925 W Birch St
PO Box 786
Glenrock, WY 82637-0786
Phone (307) 436-9206

Other names 1

  • glenrock health center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glenrock Diag Trtmnt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1285854174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W BIRCH ST",
            "address_2": "PO BOX 786",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W BIRCH ST",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENROCK HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "OVIEDO-LOPEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-436-9206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "glenrock health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenrock, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.