SHERIDAN VAMC (NPI# 1457399412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457399412 |
| Entity Type | Organization |
| Organization Name | SHERIDAN VAMC |
| Other Organization Name | RIVERTON VA CLINIC |
| Practice Address |
2300 Rose Ln Riverton WY 82501-2257 |
| Mailing Address |
Po Box 94464 Cleveland OH 44101-4464 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-06-03 |
| 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 |
| Other Name | Type Code |
|---|---|
| Riverton VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043601255 | Sheridan Vamc | Clinic/Center | 1565 Highway 150 S, Suite E, Evanston, WY 82930-5348 | 2015-02-10 |
| 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 |
| 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 |
2300 ROSE LN |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891804779 | Thomas Carl Pruett | Emergency Medicine | 2300 Rose Ln, Riverton, WY 82501-2257 | 2006-08-30 |
| 1992815716 | Pierre G Carricaburu | Family Medicine | 2300 Rose Ln, Riverton, WY 82501-2257 | 2006-08-30 |
| 1699793679 | Michael John Lee | Family Medicine | 2300 Rose Ln, Riverton, WY 82501-2257 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 |
| 1043601255 | Sheridan Vamc | Clinic/Center | 1565 Highway 150 S, Suite E, Evanston, WY 82930-5348 | 2015-02-10 |
| 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 |
| 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.