| Johnson County Healthcare Center | |
|
497 West Lott Buffalo WY 82834-1609 | |
| (307) 684-6188 | |
| (307) 684-5385 |
| Full Name | Johnson County Healthcare Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 497 West Lott, Buffalo, Wyoming |
| Authorized Official Name and Position | Luke Senden (CEO) |
| Authorized Official Contact | 3076846188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson County Healthcare Center 497 West Lott Buffalo WY 82834-1609 Ph: (307) 684-6188 | Johnson County Healthcare Center 497 West Lott Buffalo WY 82834-1609 Ph: (307) 684-6188 |
| NPI Number | 1003894122 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 5193610947 |
|---|---|
| Medicare Enrollment ID | O20070418000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003894122 | NPI | - | NPPES |
| 106561102 | Medicaid | WY | |
| 106561110 | Medicaid | WY | |
| 1106561111 | Medicaid | WY | |
| Y415571 | Other | WY | WORKERS COMP & COMMERCIAL |
| 106561104 | Medicaid | WY | |
| 185689800 | Other | WY | WORKERS COMP & COMMERCIAL |
| 007336 | Other | WY | BLUE CROSS BLUE SHIELD |
| 00984001 | Other | WY | BLUE CROSS BLUE SHIELD |
| 530026 | Other | WY | WORKERS COMP & COMMERCIAL |
| 106561100 | Medicaid | WY | |
| 185689800 | Other | WY | TRICARE |
| Y415571 | Other | WY | TRICARE |
| Provider Name | Brian M Darnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225016280 PECOS PAC ID: 6507750080 Enrollment ID: I20040214000223 |
| Provider Name | Traci D Darnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336128883 PECOS PAC ID: 3971547159 Enrollment ID: I20050927001101 |
| Provider Name | Jeffery W Edstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164427274 PECOS PAC ID: 1557326923 Enrollment ID: I20070412000027 |
| Provider Name | Oscar M Busso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887449 PECOS PAC ID: 5092777664 Enrollment ID: I20070712000527 |
| Provider Name | Blaine J Ruby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912105107 PECOS PAC ID: 9032201025 Enrollment ID: I20070822000926 |
| Provider Name | Mark S Schueler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346228475 PECOS PAC ID: 6901967553 Enrollment ID: I20081202000203 |
| Provider Name | Hermilo Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023096153 PECOS PAC ID: 8325109978 Enrollment ID: I20081202000235 |
| Provider Name | Shaun J Gonda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881810596 PECOS PAC ID: 3476608910 Enrollment ID: I20090904000059 |
| Provider Name | Jennifer Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336229624 PECOS PAC ID: 1951490457 Enrollment ID: I20090910000661 |
| Provider Name | Thomas J Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346389426 PECOS PAC ID: 6800709650 Enrollment ID: I20100921000508 |
| Provider Name | Jodi M Verplancke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760637813 PECOS PAC ID: 4587857990 Enrollment ID: I20101018001296 |
| Provider Name | Amber N Kinner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346400777 PECOS PAC ID: 9133391121 Enrollment ID: I20111018000094 |
| Provider Name | Ryan R Ludwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962666917 PECOS PAC ID: 9436203098 Enrollment ID: I20120109000415 |
| Provider Name | Angela L Knutson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417915950 PECOS PAC ID: 3678596905 Enrollment ID: I20121205000317 |
| Provider Name | Timothy E Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699099143 PECOS PAC ID: 3678707189 Enrollment ID: I20131015001999 |
| Provider Name | Chelsea H Puente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083044630 PECOS PAC ID: 8123258787 Enrollment ID: I20140226001139 |
| Provider Name | William B Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447423322 PECOS PAC ID: 1456591015 Enrollment ID: I20140711001687 |
| Provider Name | Lisa M Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629364377 PECOS PAC ID: 9436396272 Enrollment ID: I20140925001204 |
| Provider Name | Erica D Rinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679860597 PECOS PAC ID: 5597914846 Enrollment ID: I20160915002565 |
| Provider Name | Alyse Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609280486 PECOS PAC ID: 5597074765 Enrollment ID: I20170822002419 |
| Provider Name | Regg a Hagge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902850779 PECOS PAC ID: 3375444508 Enrollment ID: I20180626001331 |
| Provider Name | Mitchell F Volin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245719475 PECOS PAC ID: 3678825403 Enrollment ID: I20181005002008 |
| Provider Name | Darin W Allred |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316074313 PECOS PAC ID: 7719913524 Enrollment ID: I20200115002255 |
| Provider Name | Zachary T Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760942387 PECOS PAC ID: 7113346677 Enrollment ID: I20231016000391 |
| Provider Name | Alex Bergeron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447995899 PECOS PAC ID: 9537523899 Enrollment ID: I20250505001868 |
| Provider Name | Matthew Hein |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750515912 PECOS PAC ID: 7618473711 Enrollment ID: I20250929001666 |
| Provider Name | Maranda Naomi Koch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598571200 PECOS PAC ID: 9638675325 Enrollment ID: I20260304003288 |
Purple Skies Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 W Fetterman St Unit 1, Buffalo, WY 82834 Phone: 307-752-8136 Fax: 307-785-1096 |
Simply Chiropractic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 W Fetterman St, Buffalo, WY 82834 Phone: 307-670-3352 |
Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 497 West Lott, Buffalo, WY 82834 Phone: 307-684-5521 Fax: 307-684-5385 |
Pacific Consulting Group, LLC. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 N Main St Ste 100, Buffalo, WY 82834 Phone: 714-396-1902 |