Organization Active NPI

Strong Tree Clinic

  • Rural Health Clinic/Center
  • Lovell, WY
National Provider Identifier
1750457933
Registry record updated Jun 18, 2008
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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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
5460A Issued in WY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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.NPI 1538121025
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
114619001MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.