Sweetwater County Child Developmental Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER

Practice address

1715 Hitching Post
Green River, WY 82935-5783

Phone

(307) 875-0268

Fax

(307) 875-3805

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lucinda Kasper

Title

Executive Director

Phone

(307) 875-0268

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jodie S Hix

  • Physical Therapy Assistant
  • Green River, WY
  • NPI 1073054508
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1740407113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 HITCHING POST",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355783",
            "telephone_number": "307-875-0268",
            "fax_number": "307-875-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HITCHING POST",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355783",
            "telephone_number": "307-875-0268",
            "fax_number": "307-875-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "KASPER",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-875-0268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106469000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Marie Strauss, PT
• Cara Elizabeth Straw, M.S. CCC/SLP
• Summit Physical & Sports Therapy Green River, LLC
• Summit Physical Therapy, PC
• Michael Ross Svejcar, MPT
• Sweetwater Radiology, PC
• Tanner Family Dentistry, Devin K. Tanner DDS, LLC
• Devin K. Tanner, DDS
• Ann H Thedieck, MD
• Estevia Thibeault

• Clinic/Center in Green River, WY
• Providers in Green River, WY by specialty
• Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.