NPIMap

Organization Active NPI

Memorial Hospital of Sheridan County

Doing business as Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
National Provider Identifier
1487707188
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
07199 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Doing business as
Sheridan Memorial Hospital
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
Fax
(307) 672-1174
NPI assigned
Jan 18, 2007
Last updated
Jan 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
General Acute Care Hospital 282N00000X 07199 WY Primary
Emergency Medicine Physician 207P00000X 07199 WY

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 identifiers 1

IdentifierTypeStateIssuer
107347800MedicaidWY

Other names 1

  • Sheridan Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040608001286 WY Part B Supplier - Clinic/Group Practice 2163405440 Receives reassigned benefits from 140 practitioners
Practice locations: Sheridan, WY; Buffalo, WY
O20081216000702 WY Part A Provider - Hospital 2163405440 Practice locations: Sheridan, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487707188. Details of each certification follow.

Hospital certification: CCN 530006

Legal name
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Doing business as
SHERIDAN MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 6, 2015
Beds
88
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1401 W 5TH St
Sheridan, WY 82801-2705
Other Hospital Practice Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Sheridan Memorial HospitalCCN 530006 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jasonotto@sheridan.cernerdirect.com

Ownership & related parties

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 Medical provider/supplier 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Michael McCafferty Individual Corporate OfficerChief Executive Officer Mar 22, 2007
W-2 Managing EmployeeCeo Mar 22, 2007
Nathan Stutte Individual Corporate OfficerChief Financial Officer Jul 1, 2015
W-2 Managing EmployeeCfo Jul 1, 2015 100%

Owners & managing parties with NPI records 3

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

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 HospitalSheridan, WY, CCN 53U006 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1968
Green House Living for SheridanSheridan, WY, CCN 535054 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2024
May 20, 2025
Memorial Hospital of Sheridan CountySheridan, WY, CCN 537038 Home health agency 5% Or Greater Direct Ownership Interest May 17, 2010

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 154

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.

View all 154

Affiliated clinicians 220

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

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1487707188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF SHERIDAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "STUTTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-672-1000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WY",
            "license": "07199",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "07199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107347800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.