SHERIDAN VAMC (NPI# 1043601255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043601255 |
| Entity Type | Organization |
| Organization Name | SHERIDAN VAMC |
| Practice Address |
1565 Highway 150 S Suite E Evanston WY 82930-5348 |
| Mailing Address |
Po Box 94464 Cleveland OH 44101-4464 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205227428 | Sheridan Vamc | Clinic/Center | 125 South Washington Street, Afton, WY 83110-9998 | 2015-02-10 |
| 1457551574 | Sheridan Vamc | Clinic/Center | 1401 Gateway Blvd, Rock Springs, WY 82901-6786 | 2007-07-18 |
| 1457399412 | Sheridan Vamc | Clinic/Center | 2300 Rose Ln, Riverton, WY 82501-2257 | 2006-06-03 |
| 1366489841 | Sheridan Vamc | Clinic/Center | 1432 Rumsey Ave, Cody, WY 82414-9998 | 2006-06-01 |
| 1518911940 | Sheridan Vamc | Clinic/Center | 604 Express Dr, Gillette, WY 82718-4112 | 2006-05-20 |
| 1538110226 | Sheridan Vamc | Clinic/Center | 6000 E 2nd St Fl 1, Casper, WY 82609-4336 | 2006-05-15 |
| 1578954798 | Sheridan Vamc | Clinic/Center | 510 S 15th St, Suite D, Worland, WY 82401-3538 | 2015-02-10 |
| 1396795845 | Sheridan Vamc | General Acute Care Hospital | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2006-05-12 |
| 1679531800 | Sheridan Vamc | Department of Veterans Affairs (VA) Pharmacy | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2006-05-04 |
| Street Address |
1565 HIGHWAY 150 S SUITE E |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962554 | James A Lovell Federal Health Care Center | Clinic/Center | 1942 Dempster St, Evanston, IL 60202-1016 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922586692 | Cheyenne Vamc | Clinic/Center | 2901 Armory Rd, Laramie, WY 82072-2937 | 2018-08-03 |
| 1073995734 | Cheyenne Vamc | Clinic/Center | 759 E Cole St, Wheatland, WY 82201-9998 | 2015-06-18 |
| 1205227428 | Sheridan Vamc | Clinic/Center | 125 South Washington Street, Afton, WY 83110-9998 | 2015-02-10 |
| 1548659733 | Cheyenne Vamc | Clinic/Center | 908 West 25th Avenue, Torrington, WY 82240-9998 | 2015-01-12 |
| 1720477904 | Cheyenne Vamc | Clinic/Center | 1809 East Daley Street, Rawlins, WY 82301-5911 | 2015-01-12 |
| 1962718692 | Veterans Affairs Medical Center | Clinic/Center | 5709 Education Dr, Apartment 307, Cheyenne, WY 82009-3951 | 2010-08-18 |
| 1457551574 | Sheridan Vamc | Clinic/Center | 1401 Gateway Blvd, Rock Springs, WY 82901-6786 | 2007-07-18 |
| 1457399412 | Sheridan Vamc | Clinic/Center | 2300 Rose Ln, Riverton, WY 82501-2257 | 2006-06-03 |
| 1366489841 | Sheridan Vamc | Clinic/Center | 1432 Rumsey Ave, Cody, WY 82414-9998 | 2006-06-01 |
| 1518911940 | Sheridan Vamc | Clinic/Center | 604 Express Dr, Gillette, WY 82718-4112 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.