MEDICARE: AFTERCARE FOLLOW UP SERVICES

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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1336000371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERCARE FOLLOW UP SERVICES

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE N
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	855-766-3313
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N GOULD ST STE N
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	855-766-3313
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ALECIA MILLS
Credential	:
Telephone Number	:	855-766-3313

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	12/03/2025

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