- Enrollment id
- O20251204000931
- Enrollment state
- WY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1740154624
- Multiple npi flag
- N
- Ccn
- 535056
- Associate id
- 1456269869
- Organization name
- NORTH BIG HORN HOSPITAL DISTRICT
- Doing business as name
- SAGE VIEW CARE CENTER
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- D
- Nursing home provider name
- SAGE VIEW CARE CENTER
- Affiliation entity name
- EVERGREEN HEALTHCARE GROUP
- Affiliation entity id
- 846
- Address line 1
- 1325 SAGE ST
- City
- ROCK SPRINGS
- State
- WY
- Zip code
- 829017478