NORTH BIG HORN HOSPITAL DISTRICT
NPI 1639043516
Skilled Nursing Facility in Cheyenne, WY

Active since October 02, 2025CLIA 53D2110344 · Waiver
3128 BOXELDER DR, CHEYENNE, WY 82001(307) 634-7901(307) 634-7910 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Big Horn Hospital District NPPES

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

NORTH BIG HORN HOSPITAL DISTRICT (NPI 1639043516), doing business as Granite Rehabilitation And Wellness, is a healthcare organization registered as a skilled nursing facility in Cheyenne, Wyoming and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Eric Shumway Connell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639043516
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH BIG HORN HOSPITAL DISTRICT
Location Address3128 BOXELDER DRCheyenne, WY 82001-5808
Mailing Address4601 Ne 77th Ave Ste 300Vancouver, WA 98662-6736 · (360) 837-0400 · Fax (360) 967-0022
Fax(307) 634-7910
Organization SubpartNo
Authorized OfficialEric Shumway ConnellCeo · (307) 548-5203
Enumeration DateOctober 2, 2025
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1639043516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
3128 BOXELDER DR, Cheyenne, WY 82001

Other Names 1

Doing Business AsGranite Rehabilitation And Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 53D2110344

North Big Horn Hospital District Dba/Granite Rehabilitation And Wellness · Cheyenne, WY
Active · expires Mar 13, 2028
CLIA Number53D2110344
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorJoseph Dobson
Laboratory Phone(307) 634-7901
Laboratory LocationNorth Big Horn Hospital District Dba/Granite Rehabilitation And Wellness3128 Boxelder Drive, Cheyenne, WY 82001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Skilled Nursing Facility
3128 BOXELDER DR
CHEYENNE, WY 82001
Occupational Therapist
3128 BOXELDER DR
CHEYENNE, WY 82001
Occupational Therapist
3128 BOXELDER DR
CHEYENNE, WY 82001
Physical Therapist
3128 BOXELDER DR
CHEYENNE, WY 82001
Occupational Therapy Assistant
3128 BOXELDER DR
CHEYENNE, WY 82001
Occupational Therapist
3128 BOXELDER DR
CHEYENNE, WY 82001
Physical Therapy Assistant
3128 BOXELDER DR
CHEYENNE, WY 82001
Skilled Nursing Facility
3128 BOXELDER DR
CHEYENNE, WY 82001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Big Horn Hospital District's NPI number?

The NPI number for North Big Horn Hospital District is 1639043516. It was assigned to this organization in the NPPES registry on October 2, 2025. The provider is doing business as Granite Rehabilitation and Wellness.

Where is North Big Horn Hospital District located?

North Big Horn Hospital District is located at 3128 Boxelder Dr, Cheyenne, WY 82001. The listed phone number is (307) 634-7901.

What is North Big Horn Hospital District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does North Big Horn Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2110344) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Big Horn Hospital District was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.