| South Sheridan Medical Center, Inc | |
|
1842 Sugarland Drive Suite 103 Sheridan WY 82801-5719 | |
| (307) 673-4960 | |
| (307) 673-4951 |
| Full Name | South Sheridan Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1842 Sugarland Drive, Sheridan, Wyoming |
| Authorized Official Name and Position | John Wayne Finley (C.E.O.) |
| Authorized Official Contact | 3076734960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sheridan Medical Center, Inc 1842 Sugarland Drive Suite 103 Sheridan WY 82801-5719 Ph: (307) 673-4960 | South Sheridan Medical Center, Inc 1842 Sugarland Drive Suite 103 Sheridan WY 82801-5719 Ph: (307) 673-4960 |
| NPI Number | 1568418192 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568418192 | NPI | - | NPPES |
| 120483100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | 240 (Wyoming) | Secondary |
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