OrganizationActive
Volunteers of America Northern Rockies
NPI 1013292473 · Substance Use Disorder Rehabilitation Clinic/Center · Sheridan, WY
Provider details
- NPI number
- 1013292473
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Buckingham, Vp of It and Compliance(307) 672-0475
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1221 W 5th St
Sheridan, WY 82801-2701
Phone: (307) 674-4405
Fax: (307) 673-5167
Approximate (ZIP-level) locationGet directions
Mailing address
521 W Lott St
Buffalo, WY 82834-1642
Registry dates
- Enumerated
- 2011-10-18
- Last updated
- 2023-04-01
- Certified
- 2023-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.