Cody Regional Health EMS
Organization Active NPI Land Ambulance · Cody, WY
NPI 1366432197 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1366432197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST PARK HOSPITAL DISTRICT
Authorized official
- Name
- Hannah Hannah McRae
- Title
- Cfo
- Phone
- (307) 578-2490
Owners & managing parties with NPI records 6
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 12
Related certifications (CCN) 3
Practitioners 112
-
Kristin Alcala, LCSW
-
Nina Beach, FNP
-
Lael J. Beachler, DPM
-
Benjamin Edward Beasley, M.D.
-
Sean E Beyer, MD
-
Jimmie G Biles Jr., M.D.
-
Kirk A Bollinger, MD
-
John Andrew Brooks, M.D.
-
Aaron Reed Brown, M.D.
-
Andrea Chisholm, MD
-
Becky Lynn Davenport, LCSW
-
Megan Davis, PMHNP
-
Connor Ross Deal, M.D.
-
Kathleen Ann Divincenzo, M.D.
-
Kevin S. Dougherty, D.O.
-
Tracy D Dunn, NP
-
Craig James Edwards, PA-C
-
Stephen F Emery, MD
-
Thomas H Etter, D.O.
-
Linsea Diane Ford, D.O.
-
Marika Rose Geertz, APRN
-
Jonah Jess Green, MD
Affiliated clinicians 307
-
Valerie J Baldes, MD
-
Nina Beach, FNP
-
Lael J. Beachler, DPM
-
Benjamin Edward Beasley, M.D.
-
James Harvey Bell, O.D.
-
Jimmie G Biles Jr., M.D.
-
Hallie Yvonne Bischoff, D.O.
-
Michael K Bohlman, M.D.
-
Wade Travis Bomengen, M.D.
-
Daniel Ryan Bonifield, D.O.
-
Adair M. Bowlby, MD
-
John M. Bramble, MD
-
Amanda Kay Buffkin, FNP-C
-
Andrea Chisholm, MD
-
Lisa Renee Christen, DNP, APRN-AGNP-C
-
Kelly E Christensen, M.D.
-
Gregory P Clark, P.A.
-
Carletta Collins, MD
Medicare Care Compare: Hospital
- Listed as
- Cody Regional Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
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
- Government · Non-profit
- Enrollment address
- 707 Sheridan Ave
Cody, WY 82414-3409
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Tyler Nelson |
Corporate Director |
Jan 1, 2013 | |
| Jennifer M Talich |
Corporate Director |
Jan 1, 2019 | |
| Coby Lablue |
Corporate Officer |
May 15, 2025 | |
| Operational/Managerial Control |
May 15, 2025 | ||
| West Park Hospital District |
Operational/Managerial Control | Jan 22, 2009 | |
| Mary Hannah McRae |
Corporate Officer |
Jan 1, 2025 | |
| Operational/Managerial Control |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- John L Noyes MD
- Part of
- John L Noyes MD
Locations
424 Yellowstone Ave
Ste 220A
Cody, WY 82414
Phone (307) 578-2287
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106133006 | Medicaid | WY | |
| 007062 | Other | WY | BLUE CROSS |
Other names
- Cody Regional Health EMS
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.