CHEYENNE VA MEDICAL CENTER
NPI 1174915342
Military Hospital in Cheyenne, WY

NPI Status: Active since February 25, 2015

Contact Information

2360 E PERSHING BLVD
PHARMACY-119
CHEYENNE, WY
ZIP 82001
Phone: (307) 996-4849

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  • Organization
  • Military Hospital
  • CLIA Number: 53D2016682
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 11-21-2026

About CHEYENNE VA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Cheyenne Va Medical Center, a provider established in Cheyenne, Wyoming operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1174915342 assigned on February 2015. The practitioner's primary taxonomy code is 286500000X with license number 3750 (WY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Travis Cork (Chief Of Pharmacy)

NPI
1174915342
Provider Name
CHEYENNE VA MEDICAL CENTER
Entity Type
Organization
Location Address
2360 E PERSHING BLVD PHARMACY-119 CHEYENNE, WY 82001
Location Phone
(307) 996-4849
Mailing Address
2360 E PERSHING BLVD PHARMACY-119 CHEYENNE, WY 82001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2015
Last Update Date
02-25-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
License No.
3750
License State
WY
Taxonomy Description
A health care facility operated by the Department of Defense.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TRAVIS CORK

Authorized Official Title
CHIEF OF PHARMACY
Authorized Official Phone
(307) 432-3819

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D2016682
Facility Type
Ambulance
Certificate Effective Date
November 22, 2024
Certificate Expiration Date
November 21, 2026
Laboratory Director
MICHAEL J. MEANS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cheyenne Va Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174915342, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 8 + 1 + 1 + 0 + 3 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174915342.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Psychiatry & Neurology (Psychiatry)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Optometrist
2360 E PERSHING BLVD, CODE 112
CHEYENNE, WY 82001
Nurse Practitioner (Adult Health)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Physical Therapist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Social Worker (Clinical)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Specialist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Internal Medicine
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Pharmacist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Orthopaedic Surgery
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Pharmacist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Pharmacist
2360 E PERSHING BLVD, PHARMACY (119)
CHEYENNE, WY 82001
Nurse Practitioner (Family)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Dietitian, Registered
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Counselor (Addiction (Substance Use Disorder))
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Nurse Practitioner (Family)
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Pharmacist
2360 E PERSHING BLVD
CHEYENNE, WY 82001
Dentist (General Practice)
2360 E PERSHING BLVD, DENTAL (160)
CHEYENNE, WY 82001
Nurse Anesthetist, Certified Registered
2360 E PERSHING BLVD, VA MEDICAL CENTER
CHEYENNE, WY 82001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174915342, enumerated as an "organization" on February 25, 2015.

The provider is located at 2360 E PERSHING BLVD PHARMACY-119 CHEYENNE, WY 82001 and the phone number is (307) 996-4849.

Military Hospital with taxonomy code 286500000X.