NPIMap

Organization Active NPI

Volunteers of America Northern Rockies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sundance, WY
National Provider Identifier
1558415927
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
420 1-2 Main St
Sundance, WY 82729-0646
Phone
(307) 283-3636
Fax
(307) 283-2898
NPI assigned
Jan 23, 2007
Organization subpart
No

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

420 1-2 Main St
Sundance, WY 82729-0646

Mailing address

521 W Lott St
Buffalo, WY 82834-1642
Phone (307) 751-7440

Other identifiers 2

IdentifierTypeStateIssuer
106076706MedicaidWY
01175001OtherWYBCBS

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
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…

Other NPIs on the same Medicare enrollment 21

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

View all 21

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

Locations

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

604 E 25th St
Cheyenne, WY 82001
Phone (307) 637-3953

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1558415927",
    "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": "307-751-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1-2 MAIN ST",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290646",
            "telephone_number": "307-283-3636",
            "fax_number": "307-283-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA NORTHERN ROCKIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106076706",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01175001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, 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.