SOUTH LINCOLN MEDICAL CLINIC ROCK SPRINGS
NPI 1649803271
Clinic/Center in Rock Springs, WY

Active since February 21, 2020CLIA 53D0520236 · Waiver
2624 COMMERCIAL WAY, ROCK SPRINGS, WY 82901(307) 522-5500(307) 522-5559 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2020, Feb 21, 2020 (2 updates tracked since 2020).

About South Lincoln Medical Clinic Rock Springs NPPES

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

SOUTH LINCOLN MEDICAL CLINIC ROCK SPRINGS (NPI 1649803271) is a healthcare organization registered as a clinic/center in Rock Springs, Wyoming and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Karl E Sundberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649803271
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH LINCOLN HOSPITAL DISTRICT
Location Address2624 COMMERCIAL WAYRock Springs, WY 82901-4769
Mailing Address711 Onyx StKemmerer, WY 83101-3214 · (307) 877-4401
Fax(307) 522-5559
Organization SubpartYes
Authorized OfficialKarl E SundbergCeo · (307) 877-4401
Enumeration DateFebruary 21, 2020
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1649803271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2624 COMMERCIAL WAY, Rock Springs, WY 82901

Other Names 1

Doing Business AsSouth Lincoln Medical Clinic Rock Springs

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Lincoln Medical Clinic Rock Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to South Lincoln Medical Clinic Rock Springs, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 10

Certified Registered Nurse Anesthetist (CRNA)4
Family Practice4
Diagnostic Radiology2
Emergency Medicine2
Anesthesiology1
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1
Orthopedic Surgery1
2 other specialties2

Clinicians, nearest first (18)

Emergency Medicine
NPI 1740459338
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4401
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1700013661
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4496
✔ PECOS✔ Accepts Medicare68 mi
Nurse Practitioner
NPI 1770205577
711 ONYX ST
Kemmerer, WY 83101
(832) 270-9456
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1750482527
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4496
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1912102989
103 W 3RD ST.
Marbleton, WY 83113
(307) 276-3306
✔ PECOS✔ Accepts Medicare80 mi
Orthopedic Surgery
NPI 1700802535
8185 HIGHWAY 789
Lander, WY 82520
(307) 206-9300
✔ PECOS✔ Accepts Medicare91 mi
Physical Therapist in Private Practice
NPI 1386183242
96 YELLOW CREEK RD
Evanston, WY 82930
(307) 444-4466
92 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982610549
164 SOUTH 5TH
Montpelier, ID 83254
(208) 390-7757
✔ Accepts Medicare117 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1598086720
169 N GATEWAY DR STE 100
Providence, UT 84332
(541) 999-4475
✔ PECOS✔ Accepts Medicare134 mi
Emergency Medicine
NPI 1750446787
550 E 1400 N
Logan, UT 84341
(435) 716-5465
✔ PECOS✔ Accepts Medicare135 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952543209
5475 S 500 E
Ogden, UT 84405
(800) 880-3566
✔ Accepts Medicare143 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265578553
5475 S 500 E
Ogden, UT 84405
(800) 880-3566
✔ Accepts Medicare143 mi
Podiatry
NPI 1760499180
1449 E 3300 S
Salt Lake City, UT 84106
(801) 483-1015
✔ PECOS✔ Accepts Medicare149 mi
Diagnostic Radiology
NPI 1417061482
625 EAST BROADWAY ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
Jackson, WY 83001
(800) 633-1905
✔ PECOS✔ Accepts Medicare152 mi
Diagnostic Radiology
NPI 1952317323
625 EAST BROADWAY ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
Jackson, WY 83001
(800) 633-1905
✔ PECOS✔ Accepts Medicare152 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295151025
645 OSAGE ST SIDNEY REGIONAL MEDICAL CENTER
Sidney, NE 69162
(308) 254-5825
328 mi
Anesthesiology
NPI 1184918781
3601 4TH ST # MS 8182
Lubbock, TX 79430
(806) 743-2981
✔ PECOS✔ Accepts Medicare683 mi
Family Practice
NPI 1992782031
150 DUNCAN RD
Buckeye, WV 24924
(304) 799-7400
✔ PECOS✔ Accepts Medicare1,559 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 53D0520236

South Lincoln Medical Clinic · Kemmerer, WY
Active · expires Jul 24, 2027
CLIA Number53D0520236
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorJade Steffen
Laboratory Phone(307) 877-4496
Laboratory LocationSouth Lincoln Medical Clinic711 Onyx Street, Kemmerer, WY 83101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 South Lincoln Hospital District's NPI number?

The NPI number for South Lincoln Hospital District is 1649803271. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is doing business as South Lincoln Medical Clinic Rock Springs.

Where is South Lincoln Hospital District located?

South Lincoln Hospital District is located at 2624 Commercial Way, Rock Springs, WY 82901. The listed phone number is (307) 522-5500.

What is South Lincoln Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is South Lincoln Hospital District enrolled in Medicare?

Yes. South Lincoln Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lincoln Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 10 Medicare specialties reassign their Medicare billing to South Lincoln Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (4), Family Practice (4) and Diagnostic Radiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Lincoln Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0520236) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Lincoln Hospital District was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.