NPIMap

Organization Active NPI

Bighorn Valley Health Center, Incorporated

Doing business as One Health - Cody

  • Federally Qualified Health Center (FQHC)
  • Cody, WY
National Provider Identifier
1407628548
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BIGHORN VALLEY HEALTH CENTER, INCORPORATED
Doing business as
One Health - Cody
Practice address
902 Blackburn St Ste F
Cody, WY 82414-8015
Phone
(307) 291-0447
Fax
(833) 972-5239
NPI assigned
Oct 23, 2023
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Dr. David Andrew Mark, MD
Title
Ceo
Phone
(406) 665-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

902 Blackburn St Ste F
Cody, WY 82414-8015

Mailing address

207 W Main St Ste 5
Lewistown, MT 59457-2718
Phone (406) 535-6545

Other names 1

  • One Health - Cody Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220727003352 WY Part B Supplier - Clinic/Group Practice 8820246077 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheridan, WY; Powell, WY; Lovell, WY; Cody, WY; Greybull, WY
O20240805000285 WY Part A Provider - Federally Qualified Health Center (FQHC) 8820246077 Practice locations: Cody, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407628548. Details of each certification follow.

Federally qualified health center certification: CCN 531002

Legal name
BIGHORN VALLEY HEALTH CENTER INCORPORATED
Doing business as
ONE HEALTH - CODY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 8, 2024
Last certification
Jul 8, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 2, 2010 in MT
Enrollment address
902 Blackburn St
Ste F
Cody, WY 82414-8494

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Other NPIs on the same Medicare enrollment 7

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

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2302067One Health Cody902 Blackburn St, Suite F, Cody, WY 82414Provider-performed microscopyApr 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bighorn Valley HLTH Ctr Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Martin V Thone Individual Corporate DirectorBoard Member Feb 1, 2018
Sara Pretty Weasel Individual Corporate DirectorBoard Member Jan 8, 2015
Beth Hronek Individual Corporate DirectorBoard Member Jun 1, 2022
Barbara Skoyen Individual Corporate DirectorBoard Member Nov 1, 2018
Curtis B Whicker Individual Corporate DirectorBoard Member Jun 1, 2022
Scott Thorn Individual Corporate DirectorBoard Member May 1, 2024
Kathleen Davidson Individual Corporate DirectorBoard Member Mar 17, 2023
Timothy Hardy Individual Corporate DirectorBoard Member Mar 11, 2013
David a Mark Individual Corporate OfficerCeo Jun 28, 2012
W-2 Managing EmployeeAd; Jun 28, 2012
Eric Tiner Individual Corporate DirectorBoard Member Jun 8, 2017
Jacqueline Jordan Sikoski Individual Corporate DirectorBoard Member May 1, 2024
Andrea Martin Individual Corporate OfficerRevenue Cycle Director Sep 21, 2021
William Briggs Individual Corporate DirectorBoard Member Sep 24, 2015
Eli Hofer Individual Corporate DirectorBoard Member Nov 1, 2018
Juanita M Sapp Individual Corporate DirectorBoard Member Jun 1, 2022
Samantha Lee Peirce Individual Corporate DirectorBoard Member May 1, 2024

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1407628548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST STE 5",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572718",
            "telephone_number": "406-535-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BLACKBURN ST STE F",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148015",
            "telephone_number": "307-291-0447",
            "fax_number": "833-972-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGHORN VALLEY HEALTH CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-665-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Health - Cody",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.