NPIMap

Organization Active NPI

Cedars Health

Doing business as Cedars Health Sheridan Clinic

  • Primary Care Clinic/Center
  • Sheridan, WY
National Provider Identifier
1386155406
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CEDARS HEALTH
Doing business as
Cedars Health Sheridan Clinic
Practice address
813 Highland Ave
Sheridan, WY 82801-2729
Phone
(307) 673-5501
NPI assigned
Oct 16, 2017
Last updated
Oct 16, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDARS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Michel W SkafNPI 1821041740
Title
Ceo
Phone
(307) 337-4284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

813 Highland Ave
Sheridan, WY 82801-2729

Mailing address

428 S Durbin St Ste 104
Casper, WY 82601-2818
Phone (307) 337-8284

Other names 1

  • Cedars Health Sheridan Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedars Health8 organizations share this tax ID, including this one
Part of
Cedars Health

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1386155406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S DURBIN ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012818",
            "telephone_number": "307-337-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HIGHLAND AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012729",
            "telephone_number": "307-673-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDARS HEALTH",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "SKAF",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-337-4284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedars Health Sheridan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.