Crook County Medical Services District
Nursing Care in Sundance, WY. Organization (NPI-2).
NPI number1114086402
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1114086402
- Entity type
- Organization (NPI-2)
- Legal business name
- Crook County Medical Services District
- Organization subpart
- No
- Enumeration date
- Dec 6, 2006
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 282E00000X | Long Term Care Hospital | 07-105 | WY | |
| 314000000X | Skilled Nursing Facility | – | – | |
| 315D00000X | Hospice, Inpatient | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Crook County Nursing Facility (Other Name)
Practice location
713 Oak StreetSundance, WY 82729-0517
Phone 307-283-3501 · Fax 307-283-2255
Mailing address
Po Box 517713 Oak Street
Sundance, WY 82729-0517
Phone 307-283-3501 · Fax 307-283-2255
Authorized official
Micki Dahne Lyons
Ceo
3072833501
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