SHERIDAN VAMC (NPI# 1518911940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518911940 |
| Entity Type | Organization |
| Organization Name | SHERIDAN VAMC |
| Other Organization Name | GILLETTE VA CLINIC |
| Practice Address |
604 Express Dr Gillette WY 82718-4112 |
| Mailing Address |
Po Box 94464 Cleveland OH 44101-4464 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-20 |
| 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 |
|---|---|
| Gillette 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 |
| 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 |
| 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 |
604 EXPRESS DR |
| City | GILLETTE |
| State | WY |
| Zip Code | 82718-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1902298029 | Jena Cowen | Day Training, Developmentally Disabled Services | 5305 Cowen Drive, Gillette, WY 82718 | 2015-02-26 |
| 1720480635 | Brenda Kay Upton | Pharmacist | 2300 S Douglas Highway, Gillette, WY 82718 | 2014-09-23 |
| 1891127825 | Bighorn Dental Clinic PC | Dentist | 4403 Running W. Drive, Gillette, WY 82718 | 2013-08-01 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1225224231 | County of Campbell | Public Health or Welfare | 2301 South 4j Rd, Gillette, WY 82718 | 2007-09-24 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| Find all providers in zip 82718 | ||||
| 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 |
| 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 |
| 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.