Organization Active NPI

Shoshoni Senior Citizens Center

  • Case Management Agency
  • Shoshoni, WY
National Provider Identifier
1659780336
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHOSHONI SENIOR CITIZENS CENTER
Practice address
214 E. 2ND
Shoshoni, WY 82649-0027
Phone
(307) 876-2703
Fax
(307) 876-2685
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Lindy Linn
Title
Director
Phone
(307) 876-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

214 E. 2ND
Shoshoni, WY 82649-0027

Mailing address

PO Box 27
214 E. 2ND
Shoshoni, WY 82649-0027
Phone (307) 876-2703

Other identifiers 1

IdentifierTypeStateIssuer
116118100MedicaidWY

National Provider Directory

National Provider Directory

Locations

214 E 2nd St
Shoshoni, WY 82649
Phone (307) 876-2703

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1659780336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "214 E. 2ND",
            "city": "SHOSHONI",
            "state": "WY",
            "postal_code": "826490027",
            "telephone_number": "307-876-2703",
            "fax_number": "307-876-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E. 2ND",
            "city": "SHOSHONI",
            "state": "WY",
            "postal_code": "826490027",
            "telephone_number": "307-876-2703",
            "fax_number": "307-876-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHONI SENIOR CITIZENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-876-2703"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116118100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoshoni, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.