West Park Hospital District
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Cody, WY
NPI 1740360288 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1740360288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- WEST PARK HOSPITAL DISTRICT
- Practice address
- 707 Sheridan Ave
Cody, WY 82414-3409 - Phone
- (307) 527-5201
- Fax
- (307) 578-2485
- NPI assigned
- Oct 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST PARK HOSPITAL DISTRICT
Authorized official
- Name
- Coby La Blue
- Title
- Cfo
- Phone
- (307) 578-2489
Owners & managing parties with NPI records 6
-
Peter Damian Sidor, M.D.
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 12
Related certifications (CCN) 2
Facilities with the same owner 5
Practitioners 85
-
Valerie J Baldes, MD
-
Gregory Michael Behm, M.D.
-
Aaron Reed Brown, M.D.
-
Andrea Chisholm, MD
-
Megan Davis, PMHNP
-
Connor Ross Deal, M.D.
-
Rebecca Anne Deal, M.D.
-
Tracy D Dunn, NP
-
Stephen F Emery, MD
-
Thomas H Etter, D.O.
-
Linsea Diane Ford, D.O.
-
Marika Rose Geertz, APRN
-
Jonah Jess Green, MD
-
Andrew John Hoene, M.D.
-
Barton E Jones, CRNA
-
Layne Ellen Lash, FNP-C
-
Elise Marie Lowe, MD
-
Brent Adam McAllister, CRNA
-
Pedro Alberto Mendoza, AGACNP
Affiliated clinicians 6
-
Connor Ross Deal, M.D.
-
Tracy D Dunn, NP
-
Linsea Diane Ford, D.O.
-
Ethan F Slight, MD
-
Julie D Steward, C-ACNP
-
Debra Mae Russell, ACNPC, CCRN-CSC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Hospital certification: CCN 53Z312
- Legal name
- WEST PARK HOSPITAL DISTRICT
- Doing business as
- CODY REGIONAL HEALTH
- Organization structure
- Government · Non-profit
- Enrollment address
- 707 Sheridan Ave
Cody, WY 82414-3409
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Peter D Sidor |
Other |
Nov 1, 2024 | 16% |
| Angela Johnson |
Other |
Oct 19, 2023 | 16% |
| Richard Tyler Nelson |
Other |
Jan 1, 2013 | 16% |
| Jennifer M Talich |
Other |
Nov 1, 2024 | 16% |
| Coby Lablue |
Corporate Officer |
May 19, 2025 | 18% |
| Operational/Managerial Control |
May 19, 2025 | ||
| West Park Hospital District |
5% Or Greater Direct Ownership Interest | Jan 1, 1986 | 100% |
| Mary Hannah McRae |
Corporate Officer |
Oct 1, 2021 | 18% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Cody Regional Health |
Hospital | Operational/Managerial Control | Jan 22, 2009 |
| Cody Regional Health Long Term Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Feb 23, 2009 Feb 23, 2009 Feb 3, 2009 |
| Cody Regional Health Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 9, 2012 Aug 9, 2012 |
| Cody Regional Health Home Health and Spirit Mountain Hospice |
Hospice | Other (100%) | Jul 1, 1995 |
| Cody Regional Health |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 25, 2021 Nov 25, 2021 |
| Cody Regional Basin Rural Health Clinic |
Rural health clinic | Operational/Managerial Control | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090427000596 | WY | Part a Provider - Critical Access Hospital | 7315855624 | Practice locations: Cody, WY |
National Provider Directory
- Tax ID family
- John L Noyes MD
- Part of
- John L Noyes MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
707 Sheridan Ave
Cody, WY 82414-3409
Mailing address
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-5201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041795 | Other | WY | BLUE CROSS |
| 106133005 | Medicaid | WY | |
| 007062 | Other | WY | BLUE CROSS |
| 106133000 | Medicaid | WY |
Other names
- Swing Bed
Other providers in Cody, WY
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District
- West Park Hospital District Hospitalists
- West Park Hospital District Long Term Care Center
- West Park Hospital Home Health
All providers in Cody, WY · Medicare Defined Swing Bed Hospital Unit in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.