Active NPI
Sublette County Hospital District
Doing business as Pinedale Urgent Care
- Urgent Care Clinic/Center
- Pinedale, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SUBLETTE COUNTY HOSPITAL DISTRICT
- Doing business as
- Pinedale Urgent Care
- Practice address
- 625 E Hennick St
Pinedale, WY 82941-5228 - Phone
- (307) 367-4133
- Fax
- (307) 459-8576
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 14, 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
- Rex Walk
- Title
- Chief Executive Officer
- Phone
- (307) 367-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
625 E Hennick St
Pinedale, WY 82941-5228
Mailing address
PO Box 627
Pinedale, WY 82941-0627
Phone (307) 367-4133
Other names 1
- Pinedale Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210518002474 | WY | Part B Supplier - Clinic/Group Practice | 5496163461 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Big Piney, WY; Pinedale, WY |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pinedale Medical Clinic
- Family Medicine Physician
- Pinedale, WY
- NPI 1104410596
O20210518002474
-
dba Sublette County Health
- Critical Access Hospital
- Pinedale, WY
- NPI 1598577611
O20210518002474
-
dba Marbleton-Big Piney Clinic
- Family Medicine Physician
- Big Piney, WY
- NPI 1699369082
O20210518002474
National Provider Directory
National Provider Directory- Tax ID family
- Sublette County Hospital
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sublette County Health
- Medicare Defined Swing Bed Hospital Unit
- Pinedale, WY
- NPI 1265309819
-
dba Heritage Home
- Skilled Nursing Facility
- Pinedale, WY
- NPI 1689448748
-
dba Marbleton-Big Piney Clinic
- Family Medicine Physician
- Big Piney, WY
- NPI 1699369082
-
dba Sublette County Health
- Community/Retail Pharmacy
- Pinedale, WY
- NPI 1770461493
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Marbleton, WY
- NPI 1760579023
-
- Family Medicine Physician
- Afton, WY
- NPI 1851603146
-
- Emergency Medicine Physician
- Pinedale, WY
- NPI 1871971184
-
- Women's Health Nurse Practitioner
- Pinedale, WY
- NPI 1144982190
-
- Medical Physician Assistant
- Big Piney, WY
- NPI 1730392598
-
- Physician Assistant
- Cheyenne, WY
- NPI 1538647631
-
- Medical Physician Assistant
- Pinedale, WY
- NPI 1609425859
-
- Family Medicine Physician
- Pinedale, WY
- NPI 1679580492
-
- Medical Physician Assistant
- Fresno, CA
- NPI 1821521659
-
- Internal Medicine Physician
- Madison, WI
- NPI 1871989665
-
- Acute Care Nurse Practitioner
- Salt Lake City, UT
- NPI 1194353268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1346927118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 627",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829410627",
"telephone_number": "307-367-4133",
"fax_number": "307-459-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E HENNICK ST",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829415228",
"telephone_number": "307-367-4133",
"fax_number": "307-459-8576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBLETTE COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "WALK",
"authorized_official_first_name": "REX",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "307-367-0150"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinedale Urgent Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinedale Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pinedale, WY
- Adam Michael Stucki, PHARM.D.
- Sublette Center (Sublette Center Hospice)
- Sublette County Hospital District (Pinedale Medical Clinic)
- Sublette County Hospital District (Sublette Ambulance)
- Sublette County Hospital District (Sublette County Health)
- Sublette County Hospital District (Sublette County Health)
- Sublette County Hospital District (Heritage Home)
- Sublette County Hospital District (Sublette County Health)
- Sublette County Public Health
- Annaliesa Sullivan, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.