SOUTH LINCOLN HOSPITAL DISTRICT NPI 1386716710

NPI Information

NPI: 1386716710
Provider Name: SOUTH LINCOLN HOSPITAL DISTRICT

Doing Business As: SOUTH LINCIOLN MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
711 ONYX ST
KEMMERER, WY
ZIP 83101
Phone: (307) 877-4401
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SOUTH LINCOLN HOSPITAL DISTRICT is a rural health clinic center in Kemmerer, WY. SOUTH LINCOLN HOSPITAL DISTRICT NPI is 1386716710. The provider is registered as an organization entity type.
The provider Is Doing Business As South Lincioln Medical Clinic.

The provider's business location address is:

711 ONYX ST
KEMMERER, WY
ZIP 83101
Phone: (307) 877-4401
Fax: (307) 877-3236

The provider's authorized official is Karl E Sundberg .
The authorized official title is Ceo and has the following contact phone number (307) 877-4401.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 3/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		06-148	WYOMING	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00943001	OTHER	WYOMING	BLUE CROSS
2	106769901	MEDICAID	WYOMING
3	830267172002	OTHER	WYOMING	WORKER'S COMP
4	830267172A001	OTHER	WYOMING	CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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