NPIMap

Organization Active NPI

South Lincoln Hospital District

Doing business as South Lincoln Urgent Care

  • Urgent Care Clinic/Center
  • Kemmerer, WY
National Provider Identifier
1467939918
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTH LINCOLN HOSPITAL DISTRICT
Doing business as
South Lincoln Urgent Care
Practice address
711 Onyx St
Kemmerer, WY 83101-3214
Phone
(307) 877-4401
Fax
(307) 877-3236
NPI assigned
Jul 26, 2018
Last updated
Jul 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH LINCOLN HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Kristin Housley
Title
Comptroller
Phone
(307) 877-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

711 Onyx St
Kemmerer, WY 83101-3214

Mailing address

711 Onyx St
Kemmerer, WY 83101-3214
Phone (307) 877-4401

Other names 1

  • South Lincoln Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000832 WY Part B Supplier - Clinic/Group Practice 2961490057 Receives reassigned benefits from 22 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kemmerer, WY; Rock Springs, WY; Evanston, WY

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Uinta Drug Pharmacy11 organizations share this tax ID, including this one
Part of
Uinta Drug Pharmacy

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1467939918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401",
            "fax_number": "307-877-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401",
            "fax_number": "307-877-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LINCOLN HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH LINCOLN HOSPITAL DISTRICT",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "HOUSLEY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "307-877-4401"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lincoln Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lincoln Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kemmerer, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.