Organization Active NPI

County of Fremont

  • Case Management Agency
  • Lander, WY
National Provider Identifier
1689691503
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on May 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107247100MedicaidWY

Other names 1

  • Fremont County Public Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Government2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.