| Crossroads Health Llc | |
|
1842 Sugarland Dr Suite 103 Sheridan WY 82801-5775 | |
| (307) 751-0645 | |
| Not Available |
| Full Name | Crossroads Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1842 Sugarland Dr, Sheridan, Wyoming |
| Authorized Official Name and Position | Wendy Jo Wood Neeson (OWNER) |
| Authorized Official Contact | 3077510645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Health Llc Po Box 7221 Sheridan WY 82801-7004 Ph: (307) 751-0645 | Crossroads Health Llc 1842 Sugarland Dr Suite 103 Sheridan WY 82801-5775 Ph: (307) 751-0645 |
| NPI Number | 1730636812 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 03/12/2018 |
| Medicare PECOS PAC ID | 1052666096 |
|---|---|
| Medicare Enrollment ID | O20180615001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730636812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19472.0369 (Wyoming) | Primary |
| Provider Name | Wendy Wood Neeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699827766 PECOS PAC ID: 7517047749 Enrollment ID: I20080415000061 |
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