Crook County Medical Services District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

07-100 Issued in WY

Legal business name

CROOK COUNTY MEDICAL SERVICES DISTRICT

Practice address

713 Oak Street
Sundance, WY 82729-0517

Phone

(307) 283-3501

Fax

(307) 283-2255

NPI assigned

Dec 1, 2006

Organization subpart

Yes

Parent organization

CROOK COUNTY MEDICAL SERVICES DISTRICTAs reported in NPPES

Name

Micki Dahne Lyons, DNP

Title

Ceo

Phone

(307) 283-3501

Part of

Crook Co Memorial Hosp

• Crook County Home Health Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2020.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1366510232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "address_2": "713 OAK STREET",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290517",
            "telephone_number": "307-283-3501",
            "fax_number": "307-283-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 OAK STREET",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290517",
            "telephone_number": "307-283-3501",
            "fax_number": "307-283-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOK COUNTY MEDICAL SERVICES DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROOK COUNTY MEDICAL SERVICES DISTRICT",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "MICKI",
        "authorized_official_middle_name": "DAHNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-283-3501",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "07-100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106168207",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106168208",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crook County Home Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crook County Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Pharmacies Inc
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Medical Services District
• Crook County Public Health
• Crook County School District #1

• All providers in Sundance, WY
• Home Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.