CROSSROADS HEALTH LLC NPI 1730636812

NPI Information

  • NPI: 1730636812
  • Provider Name: CROSSROADS HEALTH LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 53D2145487
  • Address: 1842 SUGARLAND DR
    SUITE 103
    SHERIDAN, WY
    ZIP 82801
  • Phone: (307) 751-0645

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NPI Details

CROSSROADS HEALTH LLC is a primary care clinic center in Sheridan, WY. CROSSROADS HEALTH LLC NPI is 1730636812. The provider is registered as an organization entity type.

The provider's business location address is:

1842 SUGARLAND DR
SUITE 103
SHERIDAN, WY
ZIP 82801-775
Phone: (307) 751-0645

The provider's authorized official is Wendy Jo Wood Neeson .
The authorized official title is Owner and has the following contact phone number (307) 751-0645.

The CLIA number assigned to this NPI record is 53D2145487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 3/12/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care19472.0369WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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