NPIMap

Organization Active NPI

Glenrock Hospital District

Doing business as glenrock health center

  • Clinical Medical Laboratory
  • Glenrock, WY
National Provider Identifier
1437294972
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GLENROCK HOSPITAL DISTRICT
Doing business as
glenrock health center
Practice address
925 W Birch Street
Glenrock, WY 82637-0786
Phone
(307) 436-9206
Fax
(307) 436-9730
NPI assigned
Feb 21, 2007
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mrs. Ashley Marie Oviedo-Lopez, FNPCNPI 1841797461
Title
Administrator
Phone
(307) 436-9206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X WY Primary

Addresses

Primary practice location

925 W Birch Street
Glenrock, WY 82637-0786

Mailing address

PO Box 786
925 W Birch
Glenrock, WY 82637-0786
Phone (307) 436-9206

Other identifiers 1

IdentifierTypeStateIssuer
108690100MedicaidWY

Other names 1

  • glenrock health center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100111000697 WY Part B Supplier - Independent Clinical Laboratory 8527976828 Practice locations: Glenrock, WY

Other NPIs with the same Medicare PAC ID 1

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

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
53D0520026Glenrock Hospital District925 West Birch Street, Glenrock, WY 82637Provider-performed microscopySep 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Glenrock Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glenrock Health CenterGlenrock, WY, CCN 533819 Rural health clinic Operational/Managerial Control (100%) Mar 24, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1437294972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "address_2": "925 W BIRCH",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W BIRCH STREET",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826370786",
            "telephone_number": "307-436-9206",
            "fax_number": "307-436-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENROCK HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "OVIEDO-LOPEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-436-9206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108690100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "glenrock health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenrock, WY

Sources for this page

Verify at the official NPI Registry.