NPIMap

Organization Active NPI

Platte County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Wheatland, WY
National Provider Identifier
1457403073
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PLATTE COUNTY HOSPITAL
Practice address
201 14TH St
Wheatland, WY 82201-3201
Phone
(307) 322-3636
Fax
(307) 322-3399
NPI assigned
Jan 16, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Sandra Dugger
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

201 14TH St
Wheatland, WY 82201-3201

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122001021 WY Part A Provider - Critical Access Hospital 6709798150 Practice locations: Wheatland, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457403073. Details of each certification follow.

Hospital certification: CCN 53Z305

Legal name
PLATTE COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
201 14TH St
Wheatland, WY 82201-3201
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Platte County Memorial9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerOfficer Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerOfficer Jan 1, 2018
Jean Lance Individual W-2 Managing EmployeeDeputy General Counsel Apr 21, 2022
Staci Dickerson Individual W-2 Managing EmployeeChain Home Office Administrator Jul 17, 2023
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Paris Labruzzo Individual Corporate DirectorSr Director Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Sandra K Dugger Individual Corporate DirectorCeo Jul 21, 2024
W-2 Managing Employee Jul 21, 2024
Anne Mariucci Individual Corporate DirectorDirector Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerTreasurer Mar 6, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Christine Rosini Individual Corporate DirectorCredentialing Specialist Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
W-2 Managing Employee Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerOfficer Nov 1, 2021
Rick Myers Individual Corporate DirectorBoard Member Sep 1, 2023
John F Koster Individual Corporate DirectorDirector Dec 11, 2015
Mark Wallace Individual Corporate DirectorDirector Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Dec 9, 2009
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
Banner Health Organization, Phoenix, AZ 5% Or Greater Direct Ownership Interest Sep 21, 2010 100%
Operational/Managerial Control Oct 1, 2002 100%

Owners & managing parties with NPI records 12

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

  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Casa Grande Medical Center

    • General Acute Care Hospital
    • Casa Grande, AZ
    • NPI 1003232976

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Marjorie Bessel, MD
    • Internal Medicine Physician
    • Gilbert, AZ
    • NPI 1710002068

    Corporate Officer

    CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1457403073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013201",
            "telephone_number": "307-322-3636",
            "fax_number": "307-322-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, WY

Sources for this page

Verify at the official NPI Registry.