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Contact Information

SOUTH LINCOLN HOSPITAL DISTRICT
711 ONYX ST
KEMMERER, WY83101
 Phone: 307-877-4401
 Fax: 307-877-3236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for SOUTH LINCOLN HOSPITAL DISTRICT

NPI # 1386716710
LBN Legal business name SOUTH LINCOLN HOSPITAL DISTRICT
Authorized official DAVID RYERSE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 10/24/2025 - About 8 months ago
Identifiers
WY License # 06-148
WY Medicaid 106769901
WY Other 00943001 BLUE CROSS
WY Other 830267172A001 CHAMPUS
WY Other 830267172002 WORKER'S COMP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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