NPIMap

Organization Active NPI

Sublette County Hospital District

  • Family Medicine Physician
  • Big Piney, WY
National Provider Identifier
1699369082
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUBLETTE COUNTY HOSPITAL DISTRICT
Practice address
103 W 3Rd St
Big Piney, WY 83113-5022
Phone
(307) 276-3306
Fax
(307) 459-8568
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Rex Walk
Title
Chief Executive Officer
Phone
(307) 367-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

103 W 3Rd St
Big Piney, WY 83113-5022

Mailing address

PO Box 787
Big Piney, WY 83113-0787
Phone (307) 276-3306

Other names 1

  • Marbleton-Big Piney Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sublettehospitaldistrict.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518002474 WY Part B Supplier - Clinic/Group Practice 5496163461 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Big Piney, WY; Pinedale, WY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D1038957Sublette County Hospital District103 W 3Rd St, Marbleton, WY 83113AccreditationMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sublette County Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1699369082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "BIG PINEY",
            "state": "WY",
            "postal_code": "831130787",
            "telephone_number": "307-276-3306",
            "fax_number": "307-459-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 3RD ST",
            "city": "BIG PINEY",
            "state": "WY",
            "postal_code": "831135022",
            "telephone_number": "307-276-3306",
            "fax_number": "307-459-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLETTE COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "307-367-0150"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sublettehospitaldistrict.org",
            "affiliation": "N",
            "address_1": "103 W 3rd St",
            "city": "Big Piney",
            "state": "WY",
            "country_code": "US",
            "postal_code": "831135022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marbleton-Big Piney Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Piney, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.