Healthcare Provider Details

I. General information

NPI: 1083579163
Provider Name (Legal Business Name): MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W 5TH ST
SHERIDAN WY
82801-2705
US

IV. Provider business mailing address

1401 W 5TH ST
SHERIDAN WY
82801-2705
US

V. Phone/Fax

Practice location:
  • Phone: 307-672-1000
  • Fax:
Mailing address:
  • Phone: 307-672-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: NATHAN STUTTE
Title or Position: CFO
Credential:
Phone: 307-672-1000