County of Big Horn

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

08-082 Issued in WY

Legal business name

COUNTY OF BIG HORN

Practice address

417 S 2ND St
Greybull, WY 82426-2235

Phone

(307) 765-2371

Fax

(307) 765-2381

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Susan Wiley, RN, BSN

Title

Nursing Manager

Phone

(307) 765-2371

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1891890034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S 2ND ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262235",
            "telephone_number": "307-765-2371",
            "fax_number": "307-765-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S 2ND ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262235",
            "telephone_number": "307-765-2371",
            "fax_number": "307-765-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BIG HORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "NURSING MANAGER",
        "authorized_official_telephone_number": "307-765-2371",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "08-082",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": "08-082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107222600",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107222602",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tate Ezra Anderson, DDS
• Big Horn Drug
• Big Horn Nutrition, LLC
• Bighorn Valley Health Center Incorporated (One Health)
• Ross A Davidson, PHARMD
• Samuel Davidson, DDS
• Tenika Leigh Eardley, RDN
• Melissa Jean Eckman, RN
• Eye Care for You, LLC

• Public Health or Welfare Agency in Greybull, WY
• Providers in Greybull, 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 Jun 30, 2008; 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.