Centrad Healthcare Llc
LBN: Centrad Healthcare Llc
Centrad Healthcare Llc is an health care organization with primary practice located at 419 N Fenway St , Casper WY 82601-2134. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty.
Centrad Healthcare Llc can be contacted via phone (307) 266-4434, or through Callaghan, Gidgett Ann via phone (630) 369-5840.
Contact Information
Primary practice address
419 N Fenway St
Casper WY 82601-2134
Phone: (307) 266-4434
Fax: (307) 266-4454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 203000502 | Illinois |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 2389 | Wyoming |
Profile Details
| NPI number | 1528136728 |
|---|---|
| LBN Legal business name | Centrad Healthcare Llc |
| DBA Doing business as | |
| Authorized official | Callaghan, Gidgett Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Apr 7th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528136728 | NPPES |
| Wyoming | MEDICAID | 115544000 | |
| Wyoming | MEDICAID | 115544001 |
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