Organization
ALLEGIANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BROCKHOLDER (OPERATING MANAGER)
(864) 305-5000
Entity
Organization
Contact information
Practice address
30 N GOULD ST, SHERIDAN, WY 82801-6317
(419) 340-8662
Mailing address
30 N GOULD ST, SHERIDAN, WY 82801-6317
(419) 340-8662
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
04/22/2025
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