NPIMap

Organization Active NPI

Cheyenne VA Medical Center

  • Military Hospital
  • Cheyenne, WY
National Provider Identifier
1174915342
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
3750 Issued in WY
Legal business name
CHEYENNE VA MEDICAL CENTER
Practice address
2360 E Pershing Blvd
Pharmacy-119
Cheyenne, WY 82001-5356
Phone
(307) 996-4849
NPI assigned
Feb 25, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Travis Cork
Title
Chief of Pharmacy
Phone
(307) 432-3819

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cheyenne VA Medical CenterCCN 53004F
Overall star rating
5 of 5
Type
Acute Care - Veterans Administration
Ownership
Veterans Health Administration
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne Vamc (15 organizations share this tax ID)

Locations

2360 E Pershing Blvd
#119
Cheyenne, WY 82001
Phone (307) 634-9018

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 3750 WY Primary

Addresses

NPPES NPI Registry

Primary practice location

2360 E Pershing Blvd
Pharmacy-119
Cheyenne, WY 82001-5356

Mailing address

2360 E Pershing Blvd
Pharmacy-119
Cheyenne, WY 82001-5356

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2015.

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1174915342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 E PERSHING BLVD",
            "address_2": "PHARMACY-119",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 E PERSHING BLVD",
            "address_2": "PHARMACY-119",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015356",
            "telephone_number": "307-996-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CORK",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "307-432-3819",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "WY",
            "license": "3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.