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Memorial Hospital of Sheridan County

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Sheridan, WY

NPI 1184753261 · NPPES record last updated Jan 18, 2021

Key facts

NPI
1184753261
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
07199 (WY)
Legal business name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
Fax
(307) 672-1174
NPI assigned
Mar 5, 2007
Organization subpart
No

Authorized official

Name
Nathan Stutte
Title
Cfo
Phone
(307) 672-1000

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 90

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY

Hospital certification: CCN 53U006

Legal name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Doing business as
SHERIDAN MEMORIAL HOSPITAL
Organization structure
Government · Non-profit
Enrollment address
1401 W 5TH St
Sheridan, WY 82801-2705
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Memorial Hospital of Sheridan County
Organization · Sheridan, WY
Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 1968 100%
Michael McCafferty
Individual 		Corporate Officer
Chief Executive Officer		 Mar 22, 2007
W-2 Managing Employee
Ceo		 Mar 22, 2007
Nathan Stutte
Individual 		Corporate Officer
Chief Financial Officer		 Jul 1, 2015
W-2 Managing Employee
Cfo		 Jul 1, 2015 100%

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sheridan Memorial Hospital
Sheridan, WY · CCN 530006		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Green House Living for Sheridan
Sheridan, WY · CCN 535054		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2024
May 20, 2025
Memorial Hospital of Sheridan County
Sheridan, WY · CCN 537038		 Home health agency 5% Or Greater Direct Ownership Interest May 17, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081216000720 WY Part a Provider - Hospital 2163405440 Practice locations: Sheridan, WY

National Provider Directory

Tax ID family
Memorial Hospital of Sheridan County (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 07199 WY Yes

Addresses

Primary practice location

1401 W 5TH St
Sheridan, WY 82801-2705

Mailing address

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Other providers in Sheridan, WY

All providers in Sheridan, WY · Medicare Defined Swing Bed Hospital Unit in Wyoming

Sources for this page

Verify at the official NPI Registry.