Organization Active NPI

County of Niobrara

Doing business as Niobrara County Public Health

  • Public Health or Welfare Agency
  • Lusk, WY
National Provider Identifier
1770636276
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF NIOBRARA
Doing business as
Niobrara County Public Health
Practice address
701 S Main St
Lusk, WY 82225-5094
Phone
(307) 334-4032
NPI assigned
Jan 19, 2007
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Melanie Pearce, RN
Title
County Nurse Manager
Phone
(307) 286-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X WY Primary

Addresses

Primary practice location

701 S Main St
Lusk, WY 82225-5094

Mailing address

PO Box 998
Lusk, WY 82225-0998
Phone (307) 334-4032

Other identifiers 1

IdentifierTypeStateIssuer
109199900MedicaidWY

Other names 1

  • Niobrara County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107000576 WY Part B Supplier - Mass Immunization (Roster Biller Only) 7113451683 Practice locations: Lusk, WY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1770636276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250998",
            "telephone_number": "307-334-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822255094",
            "telephone_number": "307-334-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NIOBRARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "COUNTY NURSE MANAGER",
        "authorized_official_telephone_number": "307-286-0220",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109199900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niobrara County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lusk, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.