NPIMap

Organization Active NPI

Bighorn Valley Health Center, Incorporated

Doing business as One Health-Sheridan

  • Federally Qualified Health Center (FQHC)
  • Sheridan, WY
National Provider Identifier
1699446195
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BIGHORN VALLEY HEALTH CENTER, INCORPORATED
Doing business as
One Health-Sheridan
Practice address
201 E 5TH St
Sheridan, WY 82801-3658
Phone
(406) 665-4103
NPI assigned
Sep 23, 2021
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BIGHORN VALLEY HEALTH CENTER, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. David Andrew Mark, MD
Title
Ceo
Phone
(406) 665-4103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

201 E 5TH St
Sheridan, WY 82801-3658

Mailing address

10 4TH St W
Hardin, MT 59034-1802
Phone (406) 535-6545

Other names 1

  • One Health-Sheridan Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220727003352 WY Part B Supplier - Clinic/Group Practice 8820246077 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheridan, WY; Powell, WY; Lovell, WY; Cody, WY; Greybull, WY
O20220817003702 WY Part A Provider - Federally Qualified Health Center (FQHC) 8820246077 Practice locations: Sheridan, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699446195. Details of each certification follow.

Federally qualified health center certification: CCN 531834

Legal name
BIGHORN VALLEY HEALTH CENTER INCORPORATED
Doing business as
ONE HEALTH-SHERIDAN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 10, 2022
Last certification
Aug 10, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 2, 2010 in MT
Enrollment address
201 E 5TH St
Sheridan, WY 82801-3658

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2105078One Health Sheridan201 E 5TH Street, Sheridan, WY 82801Provider-performed microscopyNov 16, 2027
53D2302065One Health Sheridan Depot Clinic201 E 5TH Street, Sheridan, WY 82801Provider-performed microscopyApr 3, 2028

National Provider Directory

National Provider Directory
Part of
Bighorn Valley HLTH Ctr Inc

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin V Thone Individual Corporate DirectorBoard Member Feb 1, 2018
Sara Pretty Weasel Individual Corporate DirectorBoard Member Jan 8, 2015
Barbara Skoyen Individual Corporate DirectorBoard Member Nov 1, 2018
Timothy Hardy Individual Corporate DirectorBoard Member Mar 11, 2013
David a Mark Individual Corporate OfficerCeo Jun 28, 2012
W-2 Managing EmployeeCeo Jun 28, 2012
Eric Tiner Individual Corporate DirectorBoard Member Jun 8, 2017
Carrie McCleary Individual Corporate DirectorBoard Member Feb 12, 2015
Andrea Martin Individual Corporate OfficerRevenue Cycle Manager Sep 21, 2021
William Briggs Individual Corporate DirectorBoard Member Sep 24, 2015
Eli Hofer Individual Corporate DirectorBoard Member Nov 1, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1699446195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 4TH ST W",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341802",
            "telephone_number": "406-535-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013658",
            "telephone_number": "406-665-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGHORN VALLEY HEALTH CENTER, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIGHORN VALLEY HEALTH CENTER, INCORPORATED",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-665-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Health-Sheridan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Health-Sheridan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.