RISING SUN WELLNESS CENTER NPI 1740318013

NPI Information

NPI: 1740318013
Provider Name: RISING SUN WELLNESS CENTER

Former Legal Business Name: CLOUD PEAK INITIATIVES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
151 W BRUNDAGE ST
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-1668
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RISING SUN WELLNESS CENTER is a rehabilitation and substance use disorder clinic center in Sheridan, WY. RISING SUN WELLNESS CENTER NPI is 1740318013. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cloud Peak Initiatives.

The provider's business location address is:

151 W BRUNDAGE ST
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-1668
Fax: (307) 674-1667

The provider's authorized official is Roderick Foley .
The authorized official title is Director and has the following contact phone number (307) 674-1668.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 12/30/2020.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	1041C0700X	Social Worker	Clinical	No
5	251B00000X	Case Management		No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
7	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes
8	251S00000X	Community/Behavioral Health		No

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	120820900	MEDICAID	WYOMING
2	120820901	MEDICAID	WYOMING

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: 11/14/2023

NPI Synchronization or Removal

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