Organization Active NPI

Alpine Medical

  • Oxygen Equipment & Supplies (DME)
  • Powell, WY
National Provider Identifier
1669037115
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ALPINE MEDICAL
Practice address
145 S Bent St
Powell, WY 82435-2713
Phone
(307) 764-3620
Fax
(307) 764-3621
NPI assigned
May 9, 2019
Organization subpart
Yes
Parent organization
ALPINE MEDICALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
John Newton
Title
Owner
Phone
(307) 899-3733

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.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alpine Medical145 S Bent St, Powell, WY 82435-2713(307) 764-3620 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pa… Accepts assignmentParticipating since Apr 21, 2015

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20190627000809 WY DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3072827088 Practice locations: Powell, WY

National Provider Directory

National Provider Directory
Tax ID family
Alpine Medical (4 organizations share this tax ID)
Part of
Alpine Medical

Locations

111 N Bent St
Powell, WY 82435

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

145 S Bent St
Powell, WY 82435-2713

Mailing address

3100 Big Horn Ave
Cody, WY 82414-8564
Phone (307) 587-5001

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0151904200MedicaidWY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2021.

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1669037115",
    "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": "824148564",
            "telephone_number": "307-587-5001",
            "fax_number": "307-586-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S BENT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352713",
            "telephone_number": "307-764-3620",
            "fax_number": "307-764-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE MEDICAL",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-899-3733"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151904200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.