NPIMap

Organization Active NPI

Alpine Medical

  • Durable Medical Equipment & Medical Supplies
  • Worland, WY
National Provider Identifier
1467974428
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPINE MEDICAL
Practice address
902 Big Horn Ave
Worland, WY 82401-2705
Phone
(307) 347-3344
Fax
(307) 347-3341
NPI assigned
Jul 12, 2017
Last updated
Jan 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALPINE MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Bonnie Newton
Title
Owner
Phone
(307) 899-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

902 Big Horn Ave
Worland, WY 82401-2705

Mailing address

3100 Big Horn Ave
Cody, WY 82414-9250
Phone (307) 899-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170818000760 WY DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3072827088 Practice locations: Worland, WY

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
Alpine Medical4 organizations share this tax ID, including this one
Part of
Alpine Medical

Other organizations with this tax ID 3

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

Locations

902 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3344

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1467974428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149250",
            "telephone_number": "307-899-3733",
            "fax_number": "307-586-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BIG HORN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012705",
            "telephone_number": "307-347-3344",
            "fax_number": "307-347-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE MEDICAL",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-899-3733"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.