NPIMap

Organization Active NPI

West Park Hospital District

  • Emergency Medicine Physician
  • Basin, WY
National Provider Identifier
1942921937
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WEST PARK HOSPITAL DISTRICT
Practice address
PO Box 143
Basin, WY 82410-0143
Phone
(307) 568-3700
Fax
(307) 586-2217
NPI assigned
Sep 7, 2022
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST PARK HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Hannah Hannah McRae
Title
Ceo
Phone
(307) 578-2490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

PO Box 143
Basin, WY 82410-0143

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other names 1

  • Cody Regional Health Basin Rural Health Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127000865 WY Part B Supplier - Clinic/Group Practice 7315855624 Receives reassigned benefits from 197 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Powell, WY; Worland, WY; Thermopolis, WY; Meeteetse, WY; Cody, WY; Lovell, WY; Basin, WY
O20230119002906 WY Part A Provider - Rural Health Clinic 7315855624 Practice locations: Basin, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942921937. Details of each certification follow.

Rural health clinic certification: CCN 538500

Legal name
WEST PARK HOSPITAL DISTRICT
Doing business as
CODY REGIONAL BASIN RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 5, 2023
Last certification
Jun 5, 2023
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
525 N 5TH Street
Basin, WY 82410-5168
Related CCNs
531312

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Lake Hospital

Locations

702 Yellowstone Ave
Cody, WY 82414
Phone (307) 587-1257

639 W Coulter Ave
Powell, WY 82435
Phone (307) 754-9262

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Doug McMillan Individual Corporate OfficerCeo Apr 1, 1986
Stephanie Kearney Individual Corporate OfficerChief Ambulatory Officer Sep 1, 2022
W-2 Managing EmployeeCheif Ambulatory Officer Sep 1, 2022
West Park Hospital District Organization, Cody, WY Operational/Managerial Control Jan 1, 2023
Mary Hannah McRae Individual Corporate OfficerCfo Oct 10, 2020

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cody Regional HealthCody, WY, CCN 531312 Hospital Operational/Managerial Control Jan 22, 2009
Cody Regional HealthCody, WY, CCN 53Z312 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
Cody Regional Health Long Term Care CenterCody, WY, CCN 535027 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Feb 23, 2009
Feb 23, 2009
Feb 3, 2009
Cody Regional Health Home HealthCody, WY, CCN 537031 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 9, 2012
Aug 9, 2012
Cody Regional Health Home Health and Spirit Mountain HospiceCody, WY, CCN 531505 Hospice Other (100%) Jul 1, 1995
Cody Regional HealthCody, WY, CCN 533401 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 25, 2021
Nov 25, 2021

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 183

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 183

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1942921937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824100143",
            "telephone_number": "307-568-3700",
            "fax_number": "307-586-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST PARK HOSPITAL DISTRICT",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "HANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-578-2490"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cody Regional Health Basin Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cody Regional Health Basin Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Basin, WY

Sources for this page

Verify at the official NPI Registry.