Healthcare Provider Details

I. General information

NPI: 1346927118
Provider Name (Legal Business Name): SUBLETTE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E HENNICK ST
PINEDALE WY
82941-5228
US

IV. Provider business mailing address

PO BOX 627
PINEDALE WY
82941-0627
US

V. Phone/Fax

Practice location:
  • Phone: 130-736-7348
  • Fax: 307-367-6636
Mailing address:
  • Phone: 307-367-4133
  • Fax: 307-367-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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