OrganizationActive
Volunteers of America Northern Rockies
NPI 1376279679 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gillette, WY
Provider details
- NPI number
- 1376279679
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Buckingham, Vp of It and Compliance(307) 751-7440
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1299 Raymond St
Gillette, WY 82718-6980
Phone: (307) 682-8505
Approximate (ZIP-level) locationGet directions
Mailing address
521 W Lott St
Buffalo, WY 82834-1642
Registry dates
- Enumerated
- 2022-07-28
- Last updated
- 2022-07-28
- Certified
- 2022-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.