CENTRAD HEALTHCARE LLC NPI 1528136728

NPI Information

NPI: 1528136728
Provider Name: CENTRAD HEALTHCARE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
419 N FENWAY ST
CASPER, WY
ZIP 82601
Phone: (307) 266-4434
Get Directions

CENTRAD HEALTHCARE LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Casper, WY. CENTRAD HEALTHCARE LLC NPI is 1528136728. The provider is registered as an organization entity type.

The provider's business location address is:

419 N FENWAY ST
CASPER, WY
ZIP 82601-134
Phone: (307) 266-4434
Fax: (307) 266-4454

The provider's authorized official is Gidgett Ann Callaghan .
The authorized official title is Vp, Reimbursement and has the following contact phone number (630) 369-5840.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 4/7/2009.

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
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	2389	WYOMING	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	203000502	ILLINOIS	Yes

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
1	1323730002	MEDICARE NSC	WYOMING
2	115544000	MEDICAID	WYOMING
3	115544001	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: 4/28/2024

NPI Synchronization or Removal

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