Big Horn Basin Regional Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC

Practice address

424 Yellowstone Ave
Suite 150
Cody, WY 82414-9309

Phone

(307) 578-2223

Fax

(307) 578-2217

NPI assigned

May 14, 2013

Last updated

Jul 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William E Wood II

Title

President of Member

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• West Park Hospital District Long Term Care Center

  • Skilled Nursing Facility
  • Cody, WY
  • NPI 1467534081

  Member Of

  NPD member
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montgomery, AL
  • NPI 1497788871

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1669818969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-327-3061",
            "fax_number": "615-329-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 150",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-578-2223",
            "fax_number": "307-578-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF MEMBER",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Horn Basin Hearing Inc
• Big Horn Basin Orthopedic Clinic , PC
• Big Horn Basin Pathology
• Big Horn Basin Pathology, PC
• Big Horn Basin Radiology Services LLC
• Big Horn Foot Clinic, PC
• Bighorn Valley Health Center, Incorporated (One Health - Cody)
• Jimmie G Biles Jr., M.D.
• Billings Clinic
• Billings Clinic (Billings Clinic Cody)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cody, WY
• Providers in Cody, WY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.