Active NPI
Strong Tree Clinic
- Rural Health Clinic/Center
- Lovell, WY
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(8) exclusion effective May 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 5460A
- Legal business name
- STRONG TREE CLINIC
- Practice address
- 342 E Main St
Lovell, WY 82431-2136 - Phone
- (307) 548-6289
- Fax
- (307) 548-6910
- NPI assigned
- Nov 28, 2006
- Last updated
- Jun 18, 2008
- 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
- Dr. Joseph Baumstarck Jr., M.D.
- Title
- Doctor
- Phone
- (307) 548-6289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 5460A | WY | Primary |
Addresses
Primary practice location
342 E Main St
Lovell, WY 82431-2136
Mailing address
342 E Main St
Lovell, WY 82431-2136
Phone (307) 548-6289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114619001 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
342 E Main St
Lovell, WY 82431
Phone (307) 548-6289
Practitioners & affiliated clinicians
Practitioners 1
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
- Lovell, WY
- NPI 1538121025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1750457933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 E MAIN ST",
"city": "LOVELL",
"state": "WY",
"postal_code": "824312136",
"telephone_number": "307-548-6289",
"fax_number": "307-548-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 E MAIN ST",
"city": "LOVELL",
"state": "WY",
"postal_code": "824312136",
"telephone_number": "307-548-6289",
"fax_number": "307-548-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRONG TREE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "BAUMSTARCK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "307-548-6289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "WY",
"license": "5460A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114619001",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.