Organization Active NPI

Sweetwater County District Board of Health

  • Home Health Agency
  • Rock Springs, WY
National Provider Identifier
1629399902
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10289 Issued in WY
Legal business name
SWEETWATER COUNTY DISTRICT BOARD OF HEALTH
Practice address
731 C St
Suite 315
Rock Springs, WY 82901-6202
Phone
(307) 922-5390
Fax
(307) 922-5496
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Janet Lynn Gerken, R.N.
Title
Interim County Manager
Phone
(307) 922-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10289 WY Primary

Addresses

Primary practice location

731 C St
Suite 315
Rock Springs, WY 82901-6202

Mailing address

731 C St Ste 315
Rock Springs, WY 82901-6231
Phone (307) 922-5390

Other names 1

  • Sweetwater County Community Nursing Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226000881 WY Part B Supplier - Mass Immunization (Roster Biller Only) 8628101276 Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory

Locations

333 Broadway St
Ste 110
Rock Springs, WY 82901
Phone (307) 922-5390

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1629399902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 C ST STE 315",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016231",
            "telephone_number": "307-922-5390",
            "fax_number": "307-922-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 C ST",
            "address_2": "SUITE 315",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016202",
            "telephone_number": "307-922-5390",
            "fax_number": "307-922-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER COUNTY DISTRICT BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "GERKEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "INTERIM COUNTY MANAGER",
        "authorized_official_telephone_number": "307-922-5390",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "10289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetwater County Community Nursing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.