Active NPI
Monument Health Network, Inc.
- Rural Health Clinic/Center
- Newcastle, WY
National Provider Identifier
1417336637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MONUMENT HEALTH NETWORK, INC.
- Doing business as
- Monument Health Newcastle Clinic
Newcastle Regional Medical Clinic - Practice address
- 1121 Washington Blvd
Newcastle, WY 82701-2968 - Phone
- (307) 746-6720
- Fax
- (605) 718-7082
- NPI assigned
- May 20, 2015
- 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
- Thomas Worsley
- Title
- President Spearfish Hospital
- Phone
- (307) 746-6720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1121 Washington Blvd
Newcastle, WY 82701-2968
Mailing address
PO Box 860013
Minneapolis, MN 55486-0013
Phone (307) 746-6720
Other names 2
- Monument Health Newcastle Clinic
- Newcastle Regional Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2021 | Change of Ownership | Weston County Hospital District |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Newcastle, WY
- NPI 1982288312
Sold to, 2021-07-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584316800000",
"number": "1417336637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860013",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860013",
"telephone_number": "307-746-6720",
"fax_number": "605-718-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 WASHINGTON BLVD",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827012968",
"telephone_number": "307-746-6720",
"fax_number": "605-718-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONUMENT HEALTH NETWORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-20",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A",
"authorized_official_last_name": "WORSLEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT SPEARFISH HOSPITAL",
"authorized_official_telephone_number": "307-746-6720"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Monument Health Newcastle Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Newcastle Regional Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newcastle, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.