| Volunteers Of America Northern Rockies | |
|
1221 W 5th St Sheridan WY 82801-2701 | |
| (307) 674-4405 | |
| (307) 673-5167 |
| Full Name | Volunteers Of America Northern Rockies |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1221 W 5th St, Sheridan, Wyoming |
| Authorized Official Name and Position | Kelly Buckingham (VP OF IT AND COMPLIANCE) |
| Authorized Official Contact | 3076720475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Northern Rockies 521 W Lott St Buffalo WY 82834-1642 Ph: (307) 751-7440 | Volunteers Of America Northern Rockies 1221 W 5th St Sheridan WY 82801-2701 Ph: (307) 674-4405 |
| NPI Number | 1619021912 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/01/2023 |
| Certification Date | 04/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619021912 | NPI | - | NPPES |
| 106078307 | Medicaid | WY | |
| 00721001 | Other | WY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wyoming) | Primary |
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