NPIMap

Volunteers of America Northern Rockies

Organization Active NPI Substance Abuse Rehabilitation Facility · Sheridan, WY

NPI 1689249682 · NPPES record last updated Apr 25, 2024

Key facts

NPI
1689249682
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Practice address
3322 Strahan Pkwy
Sheridan, WY 82801-9162
Phone
(307) 672-2044
NPI assigned
May 21, 2021
Organization subpart
No

Authorized official

Name
Tanya Odell
Title
VP of RCM
Phone
(307) 632-9362

Other NPIs on the same Medicare enrollment 20

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

Practitioners 53

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

View all 53

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220110002012 WY Part B Supplier - Clinic/Group Practice 1355733015 Receives reassigned benefits from 32 practitioners
20 other NPIs on this enrollment
Practice locations: Newcastle, WY; Wheatland, WY; Torrington, WY; Sundance, WY; Sheridan, WY; Riverton, WY; Laramie, WY; Gillette, WY…

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

3322 Strahan Pkwy
Sheridan, WY 82801-9162

Mailing address

1876 S Sheridan Ave
Sheridan, WY 82801-6136
Phone (307) 672-0475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2024.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1689249682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 S SHERIDAN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016136",
            "telephone_number": "307-672-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-672-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA NORTHERN ROCKIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "307-632-9362"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

All providers in Sheridan, WY · Substance Abuse Rehabilitation Facility in Wyoming

Sources for this page

Verify at the official NPI Registry.