SOUTH SHERIDAN MEDICAL CENTER INC NPI 1568418192

NPI Information

SOUTH SHERIDAN MEDICAL CENTER, INC is a primary care clinic center in Sheridan, WY. SOUTH SHERIDAN MEDICAL CENTER, INC NPI is 1568418192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1842 SUGARLAND DRIVE
SUITE 103
SHERIDAN, WY
ZIP 82801-719
Phone: (307) 673-4960
Fax: (307) 673-4951

The provider's authorized official is John Wayne Finley .
The authorized official title is C.e.o. and has the following contact phone number (307) 673-4960.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 6/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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