OREGON TRAIL RURAL HEALTH CLINIC
NPI 1679582357
Clinic/Center - Rural Health in Glenrock, WY

NPI Status: Active since August 05, 2006

Contact Information

525 EAST BIRCH STREET
GLENROCK, WY
ZIP 82637
Phone: (307) 436-8838
Fax: (307) 436-2476

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 53D1007866
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-30-2025

About OREGON TRAIL RURAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Oregon Trail Rural Health Clinic, a primary care provider established in Glenrock, Wyoming operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1679582357 assigned on August 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 07163 (WY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Oregon Trail Rural Health Clinic. The authorized official of this NPI record is Mr. Curt Dugger (Cfo)

NPI
1679582357
Provider Legal Name
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Other Organization Name
OREGON TRAIL RURAL HEALTH CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
525 EAST BIRCH STREET GLENROCK, WY 82637
Location Phone
(307) 436-8838
Location Fax
(307) 436-2476
Mailing Address
PO BOX 1450 DOUGLAS, WY 82633
Mailing Phone
(307) 358-2122
Mailing Fax
(307) 436-2476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
08-22-2020
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A primary care provider (PCP) like Oregon Trail Rural Health 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.
07163
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:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*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. CURT DUGGER

Authorized Official Title
CFO
Authorized Official Phone
(307) 358-2122

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
53D1007866
Facility Type
Rural Health Clinic
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
ANNA COBB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oregon Trail Rural Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679582357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491084310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 8 + 4 + 3 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1679582357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679582357, enumerated in the NPI registry as an "organization" on August 05, 2006

The provider is located at 525 East Birch Street Glenrock, Wy 82637 and the phone number is (307) 436-8838

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 53D1007866 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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