| Sheridan Health Center, Inc | |
|
31 E Whitney Sheridan WY 82801-4742 | |
| (307) 674-6995 | |
| (307) 673-1996 |
| Full Name | Sheridan Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 E Whitney, Sheridan, Wyoming |
| Authorized Official Name and Position | Wendy Marie Ongaro (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3076746995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Health Center, Inc Po Box 682 Sheridan WY 82801-0682 Ph: (307) 674-6995 | Sheridan Health Center, Inc 31 E Whitney Sheridan WY 82801-4742 Ph: (307) 674-6995 |
| NPI Number | 1568905230 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 4284042656 |
|---|---|
| Medicare Enrollment ID | O20210423001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568905230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Caitlin P Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881995264 PECOS PAC ID: 6507055480 Enrollment ID: I20110107000149 |
| Provider Name | Marlene Ann Schuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013410893 PECOS PAC ID: 2466708003 Enrollment ID: I20180711003390 |
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