County of Park

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

07-116 Issued in WY

Legal business name

COUNTY OF PARK

Practice address

1002 Sheridan Avenue
Cody, WY 82414-3532

Phone

(307) 527-8570

Fax

(307) 527-8575

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

William E Crampton, RN

Title

Nurse Manager

Phone

(307) 527-8570

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1881748978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SHERIDAN AVENUE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143532",
            "telephone_number": "307-527-8570",
            "fax_number": "307-527-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SHERIDAN AVENUE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143532",
            "telephone_number": "307-527-8570",
            "fax_number": "307-527-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "CRAMPTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "307-527-8570",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "07-116",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": "07-116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107279001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107279000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Cody, WY
• Providers in Cody, WY by specialty
• Public Health or Welfare Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.