Organization Active NPI

Community Action of Laramie County, Inc

Doing business as Crossroads Healthcare Clinic

  • Federally Qualified Health Center (FQHC)
  • Cheyenne, WY
National Provider Identifier
1043436983
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
20234.0234 Issued in WY
Legal business name
COMMUNITY ACTION OF LARAMIE COUNTY, INC
Practice address
1700 Westland Rd
Cheyenne, WY 82001-3322
Phone
(307) 635-9291
Fax
(307) 632-6131
NPI assigned
Apr 18, 2007
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Jane Vigil
Title
Program Director
Phone
(307) 274-3010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 20234.0234 WY Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

1700 Westland Rd
Cheyenne, WY 82001-3322

Mailing address

PO Box 106
Cheyenne, WY 82003-0106
Phone (307) 635-9291

Other identifiers 1

IdentifierTypeStateIssuer
231923300MedicaidWY

Other names 1

  • Crossroads Healthcare Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222001392 WY Part B Supplier - Clinic/Group Practice 4385792555 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D1020856Crossroads Healthcare Clinic1700 Westland Road, Cheyenne, WY 82001Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

100 Central Ave
#100
Cheyenne, WY 82007
Phone (307) 632-8064

100 Central Ave
Ste 100
Cheyenne, WY 82007
Phone (307) 632-8064

1620 Central Ave
Rm 300
Cheyenne, WY 82001
Phone (307) 635-9291

1700 Westland Rd
Cheyenne, WY 82001
Phone (307) 632-8064

Interoperability endpoints

  • Direct secure messaging: loricarlson@chcc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1043436983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820030106",
            "telephone_number": "307-635-9291",
            "fax_number": "307-632-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAND RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013322",
            "telephone_number": "307-635-9291",
            "fax_number": "307-632-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION OF LARAMIE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "307-274-3010"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WY",
            "license": "20234.0234",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231923300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Healthcare Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.