Organization Active NPI

Wind River Home Oxygen-LLC

  • Durable Medical Equipment & Medical Supplies
  • Lander, WY
National Provider Identifier
1396815387
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930080535 WY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3072717487 Practice locations: Lander, WY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Wind River Home Oxygen LLC1510 Main St, Lander, WY 82520-2658(307) 335-8403 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 assignmentParticipating since Jan 8, 2007

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.