Johnson County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

JOHNSON COUNTY

Practice address

85 Klondike Drive
Buffalo, WY 82834-1624

Phone

(307) 684-2564

Fax

(307) 684-0744

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Ann Jarvis, RN

Title

Nurse Manager

Phone

(307) 684-2564

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1295858744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828340100",
            "telephone_number": "307-684-2564",
            "fax_number": "307-684-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KLONDIKE DRIVE",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341624",
            "telephone_number": "307-684-2564",
            "fax_number": "307-684-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "307-684-2564",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107260900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Idalski, LPCM
• Savanah K Jackson, RD
• James Loyd & Zoe Loyd Dba Loyd Chiropractic Center
• Kellie Jo Jensen, LCSW
• Johnson Chiropratic LLC
• Johnson County Memorial Hospital
• Johnson County Memorial Hospital
• Johnson County Memorial Hospital
• Johnson County Memorial Hospital
• Johnson County Rural Health Care District

• Public Health or Welfare Agency in Buffalo, WY
• Providers in Buffalo, WY by specialty
• Public Health or Welfare Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.