Healthcare Provider Details

I. General information

NPI: 1255421228
Provider Name (Legal Business Name): NORTH LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HOSPITAL LANE
AFTON WY
83110
US

IV. Provider business mailing address

901 ADAMS ST
AFTON WY
83110-9621
US

V. Phone/Fax

Practice location:
  • Phone: 307-885-5900
  • Fax: 307-885-3802
Mailing address:
  • Phone: 307-885-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number06105
License Number StateWY

VIII. Authorized Official

Name: DANIEL ORDYNA
Title or Position: CEO
Credential:
Phone: 307-885-5886