Healthcare Provider Details

I. General information

NPI: 1699369082
Provider Name (Legal Business Name): SUBLETTE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W 3RD ST
BIG PINEY WY
83113-5022
US

IV. Provider business mailing address

PO BOX 787
PINEDALE WY
82941-0787
US

V. Phone/Fax

Practice location:
  • Phone: 307-276-3306
  • Fax:
Mailing address:
  • Phone: 307-276-3306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY BOND
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 307-367-4133