PSI HEALTH CARE INC (NPI# 1205816980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816980 |
| Entity Type | Organization |
| Organization Name | PSI HEALTH CARE INC |
| Other Organization Name | PSI HEALTH CARE |
| Practice Address |
609 4j Ct Unit B Gillette WY 82716-4135 |
| Mailing Address |
Po Box 9901 Clearfield UT 84089-9901 |
| Practice Telephone | 3076861102 |
| Practice Fax Number | 3076862789 |
| Mailing Telephone | 8019261322 |
| Mailing Fax Number | 8019261345 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 112150204 | 05 |
| Other Name | Type Code |
|---|---|
| PSI Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881664282 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 308a Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2006-01-26 |
| 1245200120 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 2209 W 49th St, Sioux Falls, SD 57105-6551 | 2006-01-24 |
| 1669442463 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 5231 Grand Ave, Davenport, IA 52807-1014 | 2006-01-24 |
| 1841260726 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 640 9th Ave Sw, Suite 100, Aberdeen, SD 57401-5802 | 2006-01-24 |
| 1033189840 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 8710 F St Ste 132, Omaha, NE 68127-1532 | 2006-01-24 |
| 1801866694 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 1101 Broadway Avenue, Suite 119, Yankton, SD 57078 | 2006-01-24 |
| 1831179464 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 495a Frazee St E, Detroit Lakes, MN 56501-3605 | 2006-01-19 |
| 1649240086 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 940 Industrial Dr S, Suite 104, Sauk Rapids, MN 56379-1271 | 2006-01-26 |
| 1902876881 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 106 S Main Ave, Wagner, SD 57380-2000 | 2006-01-24 |
| 1962472852 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 2024 Jackson Blvd, Rapid City, SD 57702-3481 | 2006-01-24 |
| Street Address |
609 4J CT UNIT B |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537561 | Roger L Jordan | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-10 |
| 1154639201 | Joseph Leonard Fischer | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2010-09-22 |
| 1710212378 | Ashlee E Fischer | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2009-10-14 |
| 1770818858 | Melissa Marie Serreyn Younger | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2009-10-07 |
| 1891850707 | Gillette Optometric Clinic PC | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-12-22 |
| 1659399376 | Robert L Mills | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-18 |
| 1265466320 | Joseph C Maycock | Optometrist | 609 4j Ct, Gillette, WY 82716-4135 | 2006-07-11 |
| 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 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942848999 | Ethos Medical | Durable Medical Equipment & Medical Supplies | 2841 Castle Pines Dr, Gillette, WY 82718-5501 | 2019-12-19 |
| 1699245605 | Boost Health, LLC | Durable Medical Equipment & Medical Supplies | 623 N Commercial Dr, Gillette, WY 82716-2555 | 2018-12-03 |
| 1851843296 | Landmark Bracing | Durable Medical Equipment & Medical Supplies | 620 4j Ct Unit C, Gillette, WY 82716-4130 | 2016-11-02 |
| 1386729572 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 612 N Hwy 14-16, Ste G, Gillette, WY 82716-2532 | 2006-10-26 |
| 1457378689 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2300 S Douglas Hwy, Gillette, WY 82718-5420 | 2006-07-16 |
| 1003831637 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 906 Camel Dr, Gillette, WY 82716-4902 | 2006-07-13 |
| 1659835171 | Black Hills Orthopedic & Spine Center of Wyoming PC | Durable Medical Equipment & Medical Supplies | 2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 | 2019-01-29 |
| 1083155972 | Hand Therapy of Wyoming LLC | Durable Medical Equipment & Medical Supplies | 1211 S Douglas Hwy, Suite 100, Gillette, WY 82716-4949 | 2017-03-13 |
| 1558660498 | Davis Ent Specialists, PC | Durable Medical Equipment & Medical Supplies | 407 S Medical Arts Ct, Ste. C, Gillette, WY 82716-3372 | 2011-03-17 |
| 1144497603 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2008-05-14 |
| Find all providers in GILLETTE | ||||
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| 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.