NPIMap

Organization Active NPI

South Lincoln Hospital District

Doing business as South Lincoln Medical Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Kemmerer, WY
National Provider Identifier
1861027369
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTH LINCOLN HOSPITAL DISTRICT
Doing business as
South Lincoln Medical Specialty Clinic
Practice address
711 Onyx St
Kemmerer, WY 83101-3214
Phone
(307) 877-4401
Fax
(307) 877-3236
NPI assigned
Mar 5, 2020
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH LINCOLN HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
David Ryerse
Title
Ceo
Phone
(307) 800-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

711 Onyx St
Kemmerer, WY 83101-3214

Mailing address

711 Onyx St
Kemmerer, WY 83101-3214
Phone (307) 877-4401

Other names 1

  • SOUTH LINCOLN MEDICAL SPECIALTY CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uinta Drug Pharmacy11 organizations share this tax ID, including this one
Part of
Uinta Drug Pharmacy

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1861027369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401",
            "fax_number": "307-877-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LINCOLN HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH LINCOLN HOSPITAL DISTRICT",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "RYERSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-800-8650"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH LINCOLN MEDICAL SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kemmerer, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.