CROOK COUNTY HOSPICE
NPI 1093883977
Hospice Care, Community Based in Sundance, WY

Q: What is Crook County Medical Services District's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Active since December 01, 2006CLIA Certified · 3 labs

713 OAK STREET, SUNDANCE, WY 82729(307) 283-3501(307) 283-2255 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Aug 22, 2020 (2 updates tracked since 2020).

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About Crook County Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROOK COUNTY HOSPICE (NPI 1093883977) is a healthcare organization registered as a hospice care, community based in Sundance, Wyoming and active in the NPI registry since December 2006. The organization holds 3 active CLIA laboratory certificates and lists Micki Dahne Lyons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093883977

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameCROOK COUNTY MEDICAL SERVICES DISTRICT

Location Address713 OAK STREETSundance, WY 82729

Mailing AddressPo Box 517, 713 Oak StreetSundance, WY 82729-0517 · (307) 283-3501 · Fax (307) 283-2255

Phone(307) 283-3501

Fax(307) 283-2255

Organization SubpartNo

Authorized OfficialMicki Dahne LyonsCeo · (307) 283-3501

Enumeration DateDecember 1, 2006

Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1093883977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

License✔ Licensed in WY · 07-036

713 OAK STREET, Sundance, WY 82729

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Other Names 1

Other NameCrook County Hospice

Other Identifiers 1

Medicaid106168209WY

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0685583

Crook County Medical Services District · Sundance, WY

Active · expires Sep 15, 2027

CLIA Number53D0685583

Laboratory TypeRural Health Clinic

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorMicki Lyons

Laboratory Phone(307) 283-3501

Laboratory LocationCrook County Medical Services District713 Oak St, Sundance, WY 82729

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 53D0683783

Crook County Medical Services District · Sundance, WY

Active · expires Dec 25, 2026

CLIA Number53D0683783

Laboratory TypeHospital

Certificate Effective DateDecember 26, 2024

Certificate Expiration DateDecember 25, 2026

Laboratory DirectorDr. Kent J. Newsom

Laboratory Phone(307) 283-3501

Laboratory LocationCrook County Medical Services District713 Oak St, Sundance, WY 82729

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 53D2333306

Crook County Medical Services District Long Term Care · Sundance, WY

Active · expires Nov 2, 2027

CLIA Number53D2333306

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateNovember 3, 2025

Certificate Expiration DateNovember 2, 2027

Laboratory DirectorMicki D. Lyons

Laboratory Phone(307) 283-3501

Laboratory LocationCrook County Medical Services District Long Term Care713 E Oak St, Sundance, WY 82729

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CROOK COUNTY MEDICAL SERVICES DISTRICT

Nursing Care