Active NPI
Platte Valley Healthcare Project
Doing business as North Platte Valley Medical Center
- Critical Access Hospital
- Saratoga, WY
National Provider Identifier
1730899204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- PLATTE VALLEY HEALTHCARE PROJECT
- Doing business as
- North Platte Valley Medical Center
- Practice address
- 1300 W. Bridge Ave
Saratoga, WY 82331 - Phone
- (307) 326-3169
- NPI assigned
- Nov 25, 2022
- Last updated
- Aug 13, 2024
- 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
- Dana Gilleland
- Title
- Cfo
- Phone
- (307) 326-3169
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | NU | ||
| General Acute Care Hospital | 282N00000X | NU | ||
| Critical Access Hospital | 282NC0060X | NU | Primary |
Addresses
Primary practice location
1300 W. Bridge Ave
Saratoga, WY 82331
Mailing address
PO Box 549
Saratoga, WY 82331-0549
Phone (307) 326-3169
Other names 1
- North Platte Valley Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 3
NPI to CCN mapping 3
The Medicare certification numbers (CCNs) connected to NPI 1730899204. Details of each certification follow.
Hospital certification: CCN 531317
- Legal name
- PLATTE VALLEY HEALTHCARE PROJECT
- Doing business as
- NORTH PLATTE VALLEY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 9, 2024
- Last certification
- Aug 9, 2024
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Jun 25, 2019 in WY
- Enrollment address
- 1300 W Bridge Ave
Saratoga, WY 82331-0549
Hospital certification: CCN 53Z317
- Legal name
- PLATTE VALLEY HEALTHCARE PROJECT
- Doing business as
- NORTH PLATTE VALLEY MEDICAL CENTER
- Organization structure
- Corporation
- Enrollment address
- 1300 W Bridge Ave
Saratoga, WY 82331-0549
Hospital certification: CCN 530037
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NORTH PLATTE VALLEY MEDICAL CENTER
- Certification status
- Terminated Other: provider status change, Aug 8, 2024
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 16, 2023
- Last certification
- Oct 16, 2023
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Facility address
- 1300 West Bridge Ave
Saratoga, WY 82331
Care Compare: Hospital
Medicare Care Compare- Listed as
- North Platte Valley Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2158530 | North Platte Valley Medical Center | Compliance | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 3
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jerry Kraft | Corporate Director | Jan 1, 2024 | |
| Shyan Bradfield | W-2 Managing Employee | Oct 10, 2024 | |
| W-2 Managing Employee | Oct 10, 2024 | ||
| Leslie Hayes | Corporate Director | Jan 1, 2024 | |
| Dana Gilleland | Corporate Officer | Aug 9, 2024 | |
| W-2 Managing Employee | Aug 9, 2024 | ||
| Corporate Officer | Aug 9, 2024 | ||
| Operational/Managerial Control | Aug 9, 2024 | ||
| Will Faust | Corporate Director | Dec 18, 2019 | |
| Corporate Director | Dec 18, 2019 | ||
| Rocky Fiedor | Corporate Director | Jan 1, 2024 | |
| Platte Valley Healthcare Project | 5% Or Greater Direct Ownership Interest | Jul 8, 2019 | |
| 5% Or Greater Direct Ownership Interest | Aug 9, 2024 | 100% |
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Cheyenne, WY
- NPI 1043521529
-
- Family Medicine Physician
- Laramie, WY
- NPI 1922441328
-
- Physician Assistant
- Cheyenne, WY
- NPI 1700800299
-
- Physician Assistant
- Cheyenne, WY
- NPI 1710279757
-
- Occupational Therapist
- Saratoga, WY
- NPI 1245444249
-
- Family Nurse Practitioner
- Lovell, WY
- NPI 1720772551
Affiliated clinicians 18
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Surgical Physician Assistant
- Laramie, WY
- NPI 1245229178
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1730899204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"city": "SARATOGA",
"state": "WY",
"postal_code": "823310549",
"telephone_number": "307-326-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W. BRIDGE AVE",
"city": "SARATOGA",
"state": "WY",
"postal_code": "82331",
"telephone_number": "307-326-3169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATTE VALLEY HEALTHCARE PROJECT",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-25",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "GILLELAND",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "307-326-3169"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Platte Valley Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Platte Valley Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saratoga, WY
- Pathfinder Medical LLC (Saratoga Urgent Care)
- Sally E Patton
- Peak Medical Montana Operations LLC (Valley View Center)
- Platte Valley Chiropractic, Inc.
- Platte Valley Clinic Inc.
- Platte Valley Medical Clinic PC
- Professional Pharmacy Inc (Valley Pharmacy)
- Professional Pharmacy, Inc. (Valley Pharmacy)
- Ronald F Hoopes LPC
- Saratoga Care Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.