NPIMap

Organization Active NPI

Crook County Public Health

  • Public Health or Welfare Agency
  • Sundance, WY
National Provider Identifier
1811087364
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CROOK COUNTY PUBLIC HEALTH
Doing business as
Crook County Public Health
Practice address
420 1/2 E. Main Street
Sundance, WY 82729-0543
Phone
(307) 283-1142
Fax
(307) 283-1143
NPI assigned
Oct 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rebecca Tinsley, RN
Title
Nurse Manager
Phone
(307) 283-1142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X WY Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU

Addresses

Primary practice location

420 1/2 E. Main Street
Sundance, WY 82729-0543

Mailing address

420 1/2 E. Main Street
P.O. Box 543
Sundance, WY 82729-0543
Phone (307) 283-1142

Other identifiers 1

IdentifierTypeStateIssuer
107240400MedicaidWY

Other names 1

  • Crook 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
O20110721000374 WY Part B Supplier - Mass Immunization (Roster Biller Only) 3971401951 Practice locations: Sundance, WY

National Provider Directory

National Provider Directory

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811087364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 1/2 E. MAIN STREET",
            "address_2": "P.O. BOX 543",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290543",
            "telephone_number": "307-283-1142",
            "fax_number": "307-283-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1/2 E. MAIN STREET",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290543",
            "telephone_number": "307-283-1142",
            "fax_number": "307-283-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOK COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "307-283-1142",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107240400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crook County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sundance, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.