WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC


Address: 1301 W 3rd St, Gillette, WY 82716-3335
Phone: 3076827819

WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1083942080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083942080
Entity Type Organization
Organization Name WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC
Practice Address 1301 W 3rd St
Gillette
WY 82716-3335
Mailing Address 1301 W Third Street
Gillette
WY 82716
Practice Telephone 3076827819
Practice Fax Number 3076858027
Mailing Telephone 3076877246
Mailing Fax Number 3076858027
Enumeration Date 2009-12-02
Last Update Date 2015-06-08
Authorized Official Name MR. LOWELL AMIOTTE (PRESIDENT)
Authorized Official Telephone 3076877246
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Office Location

Street Address 1301 W 3RD ST
City GILLETTE
State WY
Zip Code 82716-3335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821199316 Thomas Todd Andrew Family Medicine 1301 W 3rd St, Gillette, WY 82716-3335 2006-09-26
1427404060 Rebecca Edwards Nurse Anesthetist, Certified Registered 1301 W 3rd St, Gillette, WY 82716-3335 2016-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053822387 Diana Lynn Ohman Dietitian, Registered 709 West Eighth Street, Suite 4, Gillette, WY 82716 2017-10-13
1821457821 Courage To Change Counseling LLC Community/Behavioral Health 113 S. Gillette Ave, Gillette, WY 82716 2016-02-18
1003290594 Kris Huber Community/Behavioral Health 905 Gurley Ave, Gillette, WY 82716 2015-07-14
1649516857 Shirley L Haley Nurse Practitioner 1304 West 4th Street, Gillette, WY 82716 2012-12-14
1174867188 Rebecca J Mader Registered Nurse 501 South Burma Ave., Gillette, WY 82716 2012-11-15
1568728228 Kerry Elizabeth Warner Registered Nurse 201 S Burma Ave, Gillette, WY 82716 2012-04-07
1720363351 Julie Ann Faldalen Licensed Practical Nurse 501 South Burma, Gillette, WY 82716 2011-10-14
1083937486 Clear Creek Counseling LLC Counselor 801 E. 4th St., Suite 24, Gillette, WY 82716 2010-03-12
1821241423 Dianna L Knox Counselor 500 S Burma Ave, Gillette, WY 82716 2008-10-28
1588826887 Scott R Hunter Chiropractor 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 2008-06-27
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376028225 Pain Care Center, LLC Clinic/Center 5850 E 2nd St Unit 100, Casper, WY 82609-4343 2018-09-26
1265710628 Wyoming Pain Medicine LLC Clinic/Center 707 Sheridan Ave, Cody, WY 82414-3409 2011-08-02

Competitor

Search similar providers

City GILLETTE
Zip Code 82716

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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