Active NPI
Wind River Home Oxygen-LLC
- Durable Medical Equipment & Medical Supplies
- Lander, WY
National Provider Identifier
1396815387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WIND RIVER HOME OXYGEN-LLC
- Practice address
- 1510 Main St
Lander, WY 82520-2658 - Phone
- (307) 335-8403
- Fax
- (307) 332-0485
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 14, 2025
- 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
- Mr. Clark McInroy, RRT
- Title
- Owner
- Phone
- (307) 335-8403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WY | Primary |
Addresses
Primary practice location
1510 Main St
Lander, WY 82520-2658
Mailing address
1510 Main St
Lander, WY 82520-2658
Phone (307) 335-8403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080535 | WY | DME Supplier - Medical Supply Company With Respiratory Therapist | 3072717487 | Practice locations: Lander, WY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wind River Home Oxygen LLC | Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Walkers|Wheelchair Seating/Cushions|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|Intermittent Positive Pressure Breathing IPPB DEV|Nebulizer Equipment and/or Supplies|Oxygen… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Cheyenne, WY
- NPI 1932293065
Member Of
Locations
112 Tweed Ln
Lander, WY 82520
Phone (307) 335-8403
1510 Main St
Lander, WY 82520
Phone (307) 335-8403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1396815387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 MAIN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202658",
"telephone_number": "307-335-8403",
"fax_number": "307-335-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 MAIN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202658",
"telephone_number": "307-335-8403",
"fax_number": "307-332-0485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIND RIVER HOME OXYGEN-LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "MCINROY",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-335-8403",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.