Healthcare Provider Details

I. General information

NPI: 1689448748
Provider Name (Legal Business Name): SUBLETTE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 FREMONT LAKE RD
PINEDALE WY
82941-5427
US

IV. Provider business mailing address

PO BOX 788
PINEDALE WY
82941-0788
US

V. Phone/Fax

Practice location:
  • Phone: 307-367-4161
  • Fax: 307-367-4135
Mailing address:
  • Phone: 307-367-4133
  • Fax: 307-367-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM PATTEN
Title or Position: INTERIM CHIEF EXECUTIVE OFFICER
Credential:
Phone: 307-367-0099