NPIMap

Organization Active NPI

Volunteers of America Northern Rockies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, WY
National Provider Identifier
1386798239
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Practice address
521 W Lott St
Buffalo, WY 82834-1642
Phone
(307) 684-5531
Fax
(307) 684-2912
NPI assigned
Jan 22, 2007
Organization subpart
No

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127000709 WY Part B Supplier - Clinic/Group Practice 8921901125 Receives reassigned benefits from 3 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Buffalo, WY; Newcastle, WY; Sheridan, WY; Sundance, WY
O20220110002012 WY Part B Supplier - Clinic/Group Practice 1355733015 Receives reassigned benefits from 32 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newcastle, WY; Wheatland, WY; Torrington, WY; Sundance, WY; Sheridan, WY; Riverton, WY; Laramie, WY; Gillette, WY…

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Northern Rockies43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Authorized official

Name
Kelly Buckingham
Title
VP of It and Compliance
Phone
(307) 672-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WY Primary

Addresses

Primary practice location

521 W Lott St
Buffalo, WY 82834-1642

Mailing address

521 W Lott St
Buffalo, WY 82834-1642
Phone (307) 684-5531

Other identifiers 3

IdentifierTypeStateIssuer
W4370109OtherWYMEDICARE ID PTAN
00718001OtherWYBCBS
106072406MedicaidWY

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1386798239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341642",
            "telephone_number": "307-684-5531",
            "fax_number": "307-684-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341642",
            "telephone_number": "307-684-5531",
            "fax_number": "307-684-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA NORTHERN ROCKIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VP OF IT AND COMPLIANCE",
        "authorized_official_telephone_number": "307-672-0475"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID PTAN",
            "identifier": "W4370109",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00718001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106072406",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.