SOUTH LINCOLN MEDICAL CENTER
NPI 1700910411
Pharmacy - Institutional Pharmacy in Kemmerer, WY

NPI Status: Active since March 15, 2007

Contact Information

711 ONYX ST
KEMMERER, WY
ZIP 83101
Phone: (307) 877-4401
Fax: (307) 877-3236

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • Accepts Insurance

About SOUTH LINCOLN MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for South Lincoln Medical Center, a provider established in Kemmerer, Wyoming operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1700910411 assigned on March 2007. The practitioner's primary taxonomy code is 3336I0012X with license number 52-03675-IP (WY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as South Lincoln Medical Center. The authorized official of this NPI record is Mr. Eric H Boley (Ceo)

NPI
1700910411
Provider Legal Name
SOUTH LINCOLN HOSPITAL DISTRICT
Other Organization Name
SOUTH LINCOLN MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
711 ONYX ST KEMMERER, WY 83101
Location Phone
(307) 877-4401
Location Fax
(307) 877-3236
Mailing Address
711 ONYX ST KEMMERER, WY 83101
Mailing Phone
(307) 877-4401
Mailing Fax
(307) 877-3236
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
01-05-2012
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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

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
52-03675-IP
License State
WY
Taxonomy Description
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336L0003XSuppliers

Pharmacy
Long Term Care Pharmacy

52-03675 (WY)

Insurance Plans Accepted

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

  • SummaCare Bronze 10600 with 3 Free PCP Visits - HMO
  • SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Bronze 8000 - HMO
  • SummaCare Bronze 8000 with Adult Vision Exam - HMO
  • SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
  • SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 7000 with 3 Free PCP Visits - HMO
  • SummaCare Standard Bronze - HMO
  • SummaCare Standard Bronze with Adult Vision - HMO
  • SummaCare Standard Gold - HMO
  • SummaCare Standard Gold with Adult Vision - HMO
  • SummaCare Standard Silver - HMO
  • SummaCare Standard Silver with Adult Vision - HMO

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

MR. ERIC H BOLEY

Authorized Official Title
CEO
Authorized Official Phone
(307) 877-4401

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
105993909MEDICAID (05)WY 

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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 1700910411, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 0 → 0 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 8 + 1 + 0 + 4 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1700910411.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Medicare Defined Swing Bed Unit
711 ONYX ST
KEMMERER, WY 83101
Family Medicine
711 ONYX ST
KEMMERER, WY 83101
Physician Assistant
711 ONYX ST
KEMMERER, WY 83101
Family Medicine
711 ONYX ST
KEMMERER, WY 83101
Nurse Anesthetist, Certified Registered
711 ONYX ST
KEMMERER, WY 83101
Nurse Practitioner (Family)
711 ONYX ST
KEMMERER, WY 83101
Pharmacist
711 ONYX ST
KEMMERER, WY 83101
Clinic/Center (Urgent Care)
711 ONYX ST
KEMMERER, WY 83101
Physician Assistant
711 ONYX ST
KEMMERER, WY 83101
Registered Nurse (Diabetes Educator)
711 ONYX ST
KEMMERER, WY 83101
Family Medicine
711 ONYX ST
KEMMERER, WY 83101
Anesthesiology
711 ONYX ST
KEMMERER, WY 83101
Nurse Practitioner (Family)
711 ONYX ST
KEMMERER, WY 83101
Nurse Practitioner (Family)
711 ONYX ST
KEMMERER, WY 83101
Speech-Language Pathologist
711 ONYX ST
KEMMERER, WY 83101
Counselor (Mental Health)
711 ONYX ST
KEMMERER, WY 83101
Clinic/Center (Rural Health)
711 ONYX ST
KEMMERER, WY 83101
Clinic/Center (Multi-Specialty)
711 ONYX ST
KEMMERER, WY 83101
Medicare Defined Swing Bed Unit
711 ONYX ST
KEMMERER, WY 83101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700910411, enumerated as an "organization" on March 15, 2007.

The provider is located at 711 ONYX ST KEMMERER, WY 83101 and the phone number is (307) 877-4401.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

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