NPIMap

Organization Active NPI

Cody Regional Health EMS

  • Land Ambulance
  • Cody, WY
National Provider Identifier
1366432197
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CODY REGIONAL HEALTH EMS
Doing business as
Cody Regional Health EMS
Practice address
707 Sheridan Ave
Cody, WY 82414-3409
Phone
(307) 527-7501
Fax
(307) 578-2485
NPI assigned
Oct 24, 2005
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST PARK HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Hannah Hannah McRae
Title
Cfo
Phone
(307) 578-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

707 Sheridan Ave
Cody, WY 82414-3409

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other identifiers 2

IdentifierTypeStateIssuer
007062OtherWYBLUE CROSS
106133006MedicaidWY

Other names 1

  • Cody Regional Health EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000561 WY Part A Provider - Critical Access Hospital 7315855624 Receives reassigned benefits from 135 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cody, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366432197. Details of each certification follow.

Hospital certification: CCN 531312

Legal name
WEST PARK HOSPITAL DISTRICT
Doing business as
CODY REGIONAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2004
Last certification
Nov 3, 2022
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
707 Sheridan Ave
Cody, WY 82414-3409
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cody Regional HealthCCN 531312 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lake Hosp and Clinic13 organizations share this tax ID, including this one
Part of
Lake Hosp and Clinic

Other organizations with this tax ID 12

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

Locations

424 Yellowstone Ave
Ste 220A
Cody, WY 82414
Phone (307) 578-2287

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Tyler Nelson Individual Corporate DirectorBoard Member Jan 1, 2013
Jennifer M Talich Individual Corporate DirectorBoard Member Jan 1, 2019
Coby Lablue Individual Corporate OfficerCfo May 15, 2025
Operational/Managerial ControlCfo May 15, 2025
West Park Hospital District Organization, Cody, WY Operational/Managerial Control Jan 22, 2009
Mary Hannah McRae Individual Corporate OfficerCeo Jan 1, 2025
Operational/Managerial ControlCeo Jan 1, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

Affiliated clinicians 307

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 307

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1366432197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501",
            "fax_number": "307-578-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501",
            "fax_number": "307-578-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY REGIONAL HEALTH EMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST PARK HOSPITAL DISTRICT",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "HANNAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-578-2490"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "007062",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106133006",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cody Regional Health EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.