CENTRAD HEALTHCARE LLC NPI 1528136728

NPI Information

  • NPI: 1528136728
  • Provider Name: CENTRAD HEALTHCARE LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 419 N FENWAY ST
    CASPER, WY
    ZIP 82601
  • Phone: (307) 266-4434

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NPI Details

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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies2389WYOMINGNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition203000502ILLINOISYes

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
11323730002MEDICARE NSCWYOMING
2115544000MEDICAIDWYOMING
3115544001MEDICAIDWYOMING

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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