Active NPI
Sweetwater County District Board of Health
- Home Health Agency
- Rock Springs, WY
National Provider Identifier
1629399902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 10289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160226000881 | WY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628101276 | Practice locations: Rock Springs, WY |
National Provider Directory
National Provider DirectoryLocations
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.