South Big Horn County Critical Access Hospital | |
388 South Us Hwy 20 Basin WY 82410-8902 | |
(307) 568-3311 | |
(307) 568-2139 |
Full Name | South Big Horn County Critical Access Hospital |
---|---|
Speciality | General Acute Care Hospital |
Location | 388 South Us Hwy 20, Basin, Wyoming |
Authorized Official Name and Position | Joel Jackson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3075681426 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Big Horn County Critical Access Hospital 388 South Us Hwy 20 Basin WY 82410-8902 Ph: (307) 568-3311 | South Big Horn County Critical Access Hospital 388 South Us Hwy 20 Basin WY 82410-8902 Ph: (307) 568-3311 |
NPI Number | 1013919794 |
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Provider Enumeration Date | 08/12/2005 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 1254314107 |
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Medicare Enrollment ID | O20080909000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013919794 | NPI | - | NPPES |
116049400 | Medicaid | WY | |
7385 | Other | WY | BLUECROSS |
007385 | Other | WY | BLUE SHIELD |
116049401 | Medicaid | WY |
Provider Name | Bradley J North |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023057874 PECOS PAC ID: 5890772248 Enrollment ID: I20040702000444 |
Provider Name | Gregory H Cross |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013900547 PECOS PAC ID: 6507849908 Enrollment ID: I20050324000369 |
Provider Name | Stephen R Katz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1578517959 PECOS PAC ID: 1658335294 Enrollment ID: I20060612000330 |
Provider Name | Mary Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639263650 PECOS PAC ID: 7810922093 Enrollment ID: I20081201000347 |
Provider Name | Douglas G Bell |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20090716000421 |
Provider Name | Dean A Bruschwein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568482081 PECOS PAC ID: 3375433576 Enrollment ID: I20090716000732 |
Provider Name | Jeffry O Lindenbaum |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20090821000659 |
Provider Name | Jonathan P Graeve |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538271507 PECOS PAC ID: 8820986623 Enrollment ID: I20091218000143 |
Provider Name | Kelly E Christensen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063401933 PECOS PAC ID: 3678605003 Enrollment ID: I20100720000535 |
Provider Name | Mary M Freund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134231558 PECOS PAC ID: 8729273412 Enrollment ID: I20101108000629 |
Provider Name | Zachary M Bland |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20111213000283 |
Provider Name | George E Knight |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306966858 PECOS PAC ID: 1052464815 Enrollment ID: I20111213000335 |
Provider Name | John C Sillery |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699752709 PECOS PAC ID: 1456389402 Enrollment ID: I20120119000262 |
Provider Name | Scott R Paulsen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538363635 PECOS PAC ID: 2365533783 Enrollment ID: I20121204000260 |
Provider Name | Joshua Delavan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20150629003083 |
Provider Name | Adam C Crawford |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780011031 PECOS PAC ID: 2860622529 Enrollment ID: I20151005002040 |
Provider Name | Tara S Bowman Seitz |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215999222 PECOS PAC ID: 8123063591 Enrollment ID: I20151102002721 |
Provider Name | Eric J May |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447561360 PECOS PAC ID: 6002088697 Enrollment ID: I20160816000071 |
Provider Name | Jon Kerr |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609036094 PECOS PAC ID: 8325219462 Enrollment ID: I20161129000615 |
Provider Name | Heather I Gale |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023329513 PECOS PAC ID: 6204068174 Enrollment ID: I20170703000168 |
Provider Name | Mariah Lei White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871850040 PECOS PAC ID: 2163663162 Enrollment ID: I20180619002221 |
Provider Name | Shawna M Martin |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1982075594 PECOS PAC ID: 7315248382 Enrollment ID: I20180710001965 |
Provider Name | Sarah Elizabeth Stilwill |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20180719002652 |
Provider Name | Daniel F Alderman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982666442 PECOS PAC ID: 2769466580 Enrollment ID: I20190107003372 |
Provider Name | John Scott Brandon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912943978 PECOS PAC ID: 4183603939 Enrollment ID: I20190617003319 |
Provider Name | Joshua Delavan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20190729001076 |
Provider Name | Christopher Vernon Robertson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003278607 PECOS PAC ID: 3870866742 Enrollment ID: I20190821004866 |
Provider Name | Christopher Vernon Robertson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003278607 PECOS PAC ID: 3870866742 Enrollment ID: I20191111002926 |
Provider Name | Andrew G Cox |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205872918 PECOS PAC ID: 5193914562 Enrollment ID: I20200810003464 |
Provider Name | Filip O Turcer |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1922366657 PECOS PAC ID: 9931345451 Enrollment ID: I20210712003957 |
Provider Name | Paul F Hunt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20210930001890 |
Provider Name | Enrika Rain Joy Potter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861061400 PECOS PAC ID: 8123424132 Enrollment ID: I20220816003725 |
Provider Name | Trinh Nguyen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568816858 PECOS PAC ID: 1557654605 Enrollment ID: I20220907000393 |
Provider Name | Mariano De La Mata |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396841623 PECOS PAC ID: 6901866250 Enrollment ID: I20221014001184 |
Provider Name | Charles Lambiotte |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609969534 PECOS PAC ID: 8325933286 Enrollment ID: I20221208002333 |
Provider Name | Stacy Martin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891748315 PECOS PAC ID: 1557460706 Enrollment ID: I20230522000203 |
Provider Name | Audrie C Wisell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518417054 PECOS PAC ID: 0446539233 Enrollment ID: I20230614001690 |
Provider Name | Troy B Graybeal |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609803162 PECOS PAC ID: 2961767736 Enrollment ID: I20230919000620 |
Provider Name | Tammy L Ballant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962847483 PECOS PAC ID: 0143461087 Enrollment ID: I20231102001541 |
Provider Name | Johnathan William Righetti |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1598260267 PECOS PAC ID: 8224384128 Enrollment ID: I20231211001881 |
Provider Name | Charlsie C Woodard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609198761 PECOS PAC ID: 2668500620 Enrollment ID: I20240313002878 |
Big Horn Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 N. 6th Street, Basin, WY 82410 Phone: 307-568-2499 Fax: 307-568-2699 | |
Midway Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 South Us Hwy 20, Basin, WY 82410 Phone: 307-568-3311 Fax: 307-568-2139 | |
Cody Regional Health Basin Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 N 5th Street, Basin, WY 82410 Phone: 307-527-7501 |