SOUTH LINCOLN HOSPITAL DISTRICT NPI 1972743011

NPI Information

NPI: 1972743011
Provider Name: SOUTH LINCOLN HOSPITAL DISTRICT

Doing Business As: SOUTH LINCOLN MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
711 ONYX ST
KEMMERER, WY
ZIP 83101
Phone: (307) 877-4401
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SOUTH LINCOLN HOSPITAL DISTRICT is a critical access general acute care hospital in Kemmerer, WY. SOUTH LINCOLN HOSPITAL DISTRICT NPI is 1972743011. The provider is registered as an organization entity type.
The provider Is Doing Business As South Lincoln Medical Center.

The provider's business location address is:

711 ONYX ST
KEMMERER, WY
ZIP 83101-214
Phone: (307) 877-4401
Fax: (307) 877-3236

The provider's authorized official is Kenneth W Archer .
The authorized official title is Ceo/administrator and has the following contact phone number (307) 877-4401.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/6/2017.

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	282NC0060X	General Acute Care Hospital	Critical Access	09-133	WYOMING	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	00918001	OTHER	WYOMING	BLUE SHIELD
2	831010000	OTHER		TRICARE
3	5442	OTHER		UNION PACIFIC RAILROAD
4	320145	OTHER	WYOMING	BLACK LUNG
5	W4251602	MEDICARE OSCAR/CERTIFICATION	WYOMING
6	105993900	MEDICAID	WYOMING
7	CG2160	MEDICARE OSCAR/CERTIFICATION	WYOMING
8	007401	OTHER	WYOMING	BLUE CROSS
9	185636600	OTHER		FEDERAL WORKER'S COMPENSATION
10	105993904	MEDICAID	WYOMING
11	105993902	MEDICAID	WYOMING
12	531315	MEDICARE OSCAR/CERTIFICATION	WYOMING

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: 4/28/2024

NPI Synchronization or Removal

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