| One Health-sheridan | |
|
201 E 5th St Sheridan WY 82801-3658 | |
| (406) 665-4103 | |
| Not Available |
| Full Name | One Health-sheridan |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 E 5th St, Sheridan, Wyoming |
| Authorized Official Name and Position | David Andrew Mark (CEO) |
| Authorized Official Contact | 4066654103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Health-sheridan 10 4th St W Hardin MT 59034-1802 Ph: (406) 535-6545 | One Health-sheridan 201 E 5th St Sheridan WY 82801-3658 Ph: (406) 665-4103 |
| NPI Number | 1699446195 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 8820246077 |
|---|---|
| Medicare Enrollment ID | O20220817003702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699446195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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