Active NPI
Sublette County Hospital District
- Critical Access Hospital
- Pinedale, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- SUBLETTE COUNTY HOSPITAL DISTRICT
- Practice address
- 615 E Hennick St
Pinedale, WY 82941-5228 - Phone
- (307) 367-0099
- Fax
- (307) 459-8576
- NPI assigned
- Jan 24, 2025
- 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
- Rex Walk
- Title
- Chief Executive Officer
- Phone
- (307) 367-0150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Critical Access Hospital | 282NC0060X | Primary |
Addresses
Primary practice location
615 E Hennick St
Pinedale, WY 82941-5228
Mailing address
PO Box 1200
Pinedale, WY 82941-1200
Phone (307) 367-0099
Other names 1
- SUBLETTE COUNTY HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210518002474 | WY | Part B Supplier - Clinic/Group Practice | 5496163461 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Big Piney, WY; Pinedale, WY |
| O20260123002149 | WY | Part A Provider - Critical Access Hospital | 5496163461 | Practice locations: Pinedale, WY |
Hospital certification: CCN 531320
- Legal name
- SUBLETTE COUNTY HOSPITAL DISTRICT
- Doing business as
- SUBLETTE COUNTY HEALTH
- Organization structure
- Government
- Enrollment address
- 615 E Hennick St
Pinedale, WY 82941-5228
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Pinedale, WY
- NPI 1104410596
O20210518002474
-
- Urgent Care Clinic/Center
- Pinedale, WY
- NPI 1346927118
O20210518002474
-
- Family Medicine Physician
- Big Piney, WY
- NPI 1699369082
O20210518002474
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Healthtech Management Services Inc | Operational/Managerial Control | Apr 10, 2025 | |
| Sublette County Hospital District | 5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| William David Burnett | Contracted Managing Employee | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| William D Patten | Contracted Managing Employee | Sep 15, 2025 | |
| Corporate Officer | Sep 15, 2025 | ||
| Operational/Managerial Control | Sep 15, 2025 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Marbleton, WY
- NPI 1760579023
Contracted Managing Employee, Operational/Managerial Control
-
- Family Medicine Physician
- Pinedale, WY
- NPI 1104410596
5% Or Greater Direct Ownership Interest
-
- Paramedic
- Pinedale, WY
- NPI 1205420601
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Pinedale, WY
- NPI 1689448748
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Heritage Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2021 Jan 1, 2024 Jan 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Pinedale, WY
- NPI 1689448748
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Pinedale, WY
- NPI 1689448748
Sublette County Hospital District
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
Healthtech Management Services Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
Healthtech Management Services Inc
-
- Rural Health Clinic/Center
- Tonto Basin, AZ
- NPI 1144799677
Healthtech Management Services Inc
-
- Rural Health Clinic/Center
- Globe, AZ
- NPI 1245899384
Healthtech Management Services Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Globe, AZ
- NPI 1730333758
Healthtech Management Services Inc
-
- Home Health Agency
- Spooner, WI
- NPI 1043245798
Healthtech Management Services Inc
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
Healthtech Management Services Inc
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Marbleton, WY
- NPI 1760579023
-
- Family Medicine Physician
- Pinedale, WY
- NPI 1851603146
-
- Emergency Medicine Physician
- Pinedale, WY
- NPI 1871971184
-
- Women's Health Nurse Practitioner
- Pinedale, WY
- NPI 1144982190
-
- Family Nurse Practitioner
- Jackson, WY
- NPI 1477371128
-
- Medical Physician Assistant
- Big Piney, WY
- NPI 1730392598
-
- Physician Assistant
- Cheyenne, WY
- NPI 1538647631
-
- Medical Physician Assistant
- Pinedale, WY
- NPI 1609425859
-
- Medical Physician Assistant
- Fresno, CA
- NPI 1821521659
-
- Internal Medicine Physician
- Madison, WI
- NPI 1871989665
-
- Acute Care Nurse Practitioner
- Salt Lake City, UT
- NPI 1194353268
-
- Family Medicine Physician
- Preston, ID
- NPI 1679580492
Affiliated clinicians 30
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": "1737676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1598577611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829411200",
"telephone_number": "307-367-0099",
"fax_number": "307-459-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E HENNICK ST",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829415228",
"telephone_number": "307-367-0099",
"fax_number": "307-459-8576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBLETTE COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-24",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "WALK",
"authorized_official_first_name": "REX",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "307-367-0150"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUBLETTE COUNTY HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SUBLETTE COUNTY HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pinedale, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.