Active NPI
Community Action of Laramie County, Inc
Doing business as Crossroads Healthcare Clinic
- Federally Qualified Health Center (FQHC)
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 20234.0234
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231923300 | Medicaid | WY |
Other names 1
- Crossroads Healthcare Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D1020856 | Crossroads Healthcare Clinic | Certificate of waiver | Jul 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Cheyenne, WY
- NPI 1831660430
-
- Registered Nurse
- Cheyenne, WY
- NPI 1881413177
-
- Community Health Worker
- Cheyenne, WY
- NPI 1609395441
-
- Family Nurse Practitioner
- Cheyenne, WY
- NPI 1700776895
-
- Clinical Social Worker
- Casper, WY
- NPI 1841841103
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.