County of Carbon

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

07-185 Issued in WY

Legal business name

COUNTY OF CARBON

Practice address

215 Buffalo St.
Suite 139, Carbon BLDG.
Rawllins, WY 82301

Phone

(307) 328-2607

Fax

(307) 328-2602

NPI assigned

Jul 17, 2006

Last updated

Oct 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bridget Hettgar, RN

Title

County Manager

Phone

(307) 328-2607

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1851319883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1013",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-328-2607",
            "fax_number": "307-328-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BUFFALO ST.",
            "address_2": "SUITE 139, CARBON BLDG.",
            "city": "RAWLLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-328-2607",
            "fax_number": "307-328-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CARBON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "HETTGAR",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "307-328-2607",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": "07-185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107232300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.