ENERGY BASIN CLINIC
NPI 1194869115
Clinic/Center - Rural Health in Hanna, WY

NPI Status: Active since February 16, 2007

Contact Information

1008 FELDSPAR COURT
HANNA, WY
ZIP 82327
Phone: (307) 325-6596
Fax: (307) 325-6597

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 53D0887256
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-18-2027

About ENERGY BASIN CLINIC

This page provides the complete NPI Profile along with additional information for Energy Basin Clinic, a primary care provider established in Hanna, Wyoming operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1194869115 assigned on February 2007. The practitioner's primary taxonomy code is 261QR1300X with license number 2916A (WY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Energy Basin Clinic. The authorized official of this NPI record is Michelle Keplinger (Cfo)

NPI
1194869115
Provider Legal Name
MEMORIAL HOSPITAL OF CARBON COUNTY
Other Organization Name
ENERGY BASIN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1008 FELDSPAR COURT HANNA, WY 82327
Location Phone
(307) 325-6596
Location Fax
(307) 325-6597
Mailing Address
PO BOX 689 HANNA, WY 82327
Mailing Phone
(307) 325-6596
Mailing Fax
(307) 325-6597
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-16-2007
Last Update Date
06-15-2017
Code Navigator

A primary care provider (PCP) like Energy Basin Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
2916A
License State
WY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE KEPLINGER

Authorized Official Title
CFO
Authorized Official Phone
(307) 324-8347

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00863001OTHER (01)WYBCBS OF WYOMING
4370549MEDICARE PIN (08)WY 
=========OTHER (01)WYWORKERS COMP
107205600MEDICAID (05)WY 
185872500OTHER (01)WYFEDERAL WORKERS COMP
1399310OTHER (01)WYUMWA
=========82327A001OTHER (01)WYTRIWEST
CC7577MEDICARE ID-TYPE UNSPECIFIED (04)WYRR MEDICARE GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D0887256
Facility Type
Physician Office
Certificate Effective Date
September 19, 2025
Certificate Expiration Date
September 18, 2027
Laboratory Director
MS. DUANE ABELS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Energy Basin Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194869115, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 6 + 6 + 1 + 8 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1194869115.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1008 FELDSPAR COURT
HANNA, WY 82327
Physician Assistant
1008 FELDSPAR COURT
HANNA, WY 82327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194869115, enumerated as an "organization" on February 16, 2007.

The provider is located at 1008 FELDSPAR COURT HANNA, WY 82327 and the phone number is (307) 325-6596.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.