Active NPI
Alpine Medical
- Oxygen Equipment & Supplies (DME)
- Powell, WY
National Provider Identifier
1669037115
On this page
- Key facts
- Authorized official
- Parent organization (reported in NPPES)1
- Other NPIs with the same Medicare PAC ID3
- Corporate family (same tax ID)3
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- NPI Registry JSON
- Other providers in Powell, WY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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 MEDICAL
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.
-
- Durable Medical Equipment & Medical Supplies
- Cody, WY
- NPI 1689084360
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.
-
- Durable Medical Equipment & Medical Supplies
- Worland, WY
- NPI 1467974428
-
- Durable Medical Equipment & Medical Supplies
- Cody, WY
- NPI 1689084360
-
- Prosthetic/Orthotic Supplier
- Billings, MT
- NPI 1386491967
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alpine Medical | 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 assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190627000809 | WY | DME Supplier - Medical Supply Company | 3072827088 | Practice locations: Powell, WY |
National Provider Directory
National Provider Directory- Tax ID family
- Alpine Medical
- Part of
- Alpine Medical
Locations
111 N Bent St
Powell, WY 82435
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151904200 | Medicaid | WY |
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.