Healthcare Provider Details

I. General information

NPI: 1255376406
Provider Name (Legal Business Name): NORTH LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 ADAMS ST
AFTON WY
83110-9621
US

IV. Provider business mailing address

901 ADAMS ST
AFTON WY
83110-9621
US

V. Phone/Fax

Practice location:
  • Phone: 307-885-5800
  • Fax: 307-885-5865
Mailing address:
  • Phone: 307-885-5800
  • Fax: 307-885-5865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number06138
License Number StateWY

VIII. Authorized Official

Name: DANIEL ORDYNA
Title or Position: CEO
Credential:
Phone: 307-885-5800