Active NPI
County of Fremont
- Case Management Agency
- Lander, WY
National Provider Identifier
1689691503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COUNTY OF FREMONT
- Practice address
- 450 N 2ND St
RM 350
Lander, WY 82520-2302 - Phone
- (307) 332-1073
- Fax
- (307) 332-1064
- NPI assigned
- Jul 16, 2006
- 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
- Mrs. Jo Ann Hehr
- Title
- Administrative Executive
- Phone
- (307) 856-6979
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | WY | Primary | |
| Public Health or Welfare Agency | 251K00000X | WY |
Addresses
Primary practice location
450 N 2ND St
RM 350
Lander, WY 82520-2302
Mailing address
450 N 2ND St
RM 350
Lander, WY 82520-2302
Phone (307) 332-1073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107247100 | Medicaid | WY |
Other names 1
- Fremont County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080911000561 | WY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496784050 | Practice locations: Riverton, WY |
National Provider Directory
National Provider Directory- Tax ID family
- Fremont County Government
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Family Planning Facility
- Riverton, WY
- NPI 1134495195
Locations
450 N 2nd St
Rm 350
Lander, WY 82520
Phone (307) 332-1073
818 S Federal Blvd
Riverton, WY 82501
818 S Federal Blvd
Ste 700
Riverton, WY 82501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1689691503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N 2ND ST",
"address_2": "RM 350",
"city": "LANDER",
"state": "WY",
"postal_code": "825202302",
"telephone_number": "307-332-1073",
"fax_number": "307-332-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N 2ND ST",
"address_2": "RM 350",
"city": "LANDER",
"state": "WY",
"postal_code": "825202302",
"telephone_number": "307-332-1073",
"fax_number": "307-332-1064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF FREMONT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "HEHR",
"authorized_official_first_name": "JO",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATIVE EXECUTIVE",
"authorized_official_telephone_number": "307-856-6979",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WY",
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107247100",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fremont County Public Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.