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NPI Code Detail

MEDICARE: VOLUNTEERS OF AMERICA NORTHERN ROCKIES

MEDICARE: VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1306845920
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Provider Business Mailing Address
First Line : PO BOX 1005
Second Line :
City : CHEYENNE
State : WY
Zip : 82003-1005
Country : US
Telephone Number : 307-426-4727
Fax Number :
Provider Business Practice Location Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number :
Authorized Official
Title or Position : VP OF IT AND COMPLIANCE
Name : KELLY BUCKINGHAM
Credential :
Telephone Number : 307-672-0475
Provider Enumeration Date : 07/15/2005
Last Update Date : 04/12/2022

Similar Medicare Providers

1225036338 — MS. AMY ELIZABETH ROGERS M.S. LMFT
Practice Location Address:
2526 SEYMOUR AVE
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Practice Fax:
1962400085 — MRS. JULIE ANN OLSON MSW
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1316945447 — MRS. MARY BATCHELDER COX APRN BC
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1306845870 — SHERYL M MILLER MS, LPC, NCC
Practice Location Address:
2526 SEYMOUR AVE
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1356340855 — ARTHUR NELSON MERRELL MD
Practice Location Address:
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1134129554 — MS. NATALIE JEAN MILLIGAN MS LPC LAT
Practice Location Address:
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Directions to “VOLUNTEERS OF AMERICA NORTHERN ROCKIES ” Practice Location

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