GRAND TETON HEALING CENTER INC (NPI# 1609020254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609020254 |
| Entity Type | Organization |
| Organization Name | GRAND TETON HEALING CENTER INC |
| Practice Address |
5715 E 2nd St Casper WY 82609-4322 |
| Mailing Address |
5008 Wedgewood Drive Bellaire TX 77401 |
| Practice Telephone | 3039491292 |
| Mailing Telephone | 2818333330 |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | DR. GENE SLOCUM (DOCTOR/OWNER) |
| Authorized Official Telephone | 3039491292 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
TL #1019 | WY | Ambulatory Health Care Facilities |
| Street Address |
5715 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518905595 | Michele R Mohr | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-03 |
| 1730713181 | Joseph Julio Correa-volkman | Physical Therapist | 5715 E 2nd St, Casper, WY 82609-4322 | 2020-02-25 |
| 1114407053 | Kate Whitaker | Nurse Practitioner | 5715 E 2nd St, Casper, WY 82609-4322 | 2018-08-20 |
| 1376994012 | Mohr Healthcare Solutions LLC | Hospitalist | 5715 E 2nd St, Casper, WY 82609-4322 | 2016-06-23 |
| 1245559012 | Placebo Ventures, LLC | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2010-05-19 |
| 1942470737 | Wyoming Physiatry Inc | Rehabilitation Practitioner | 5715 E 2nd St, Casper, WY 82609-4322 | 2008-03-07 |
| 1326233586 | Elkhorn Valley Rehabilitation Hospital LLC | Rehabilitation Hospital | 5715 E 2nd St, Casper, WY 82609-4322 | 2007-09-11 |
| 1841356284 | Jean Vernice Ennis | Occupational Therapist | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-12-29 |
| 1154357267 | Ryan Thomas Swan | Physical Medicine & Rehabilitation | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588134126 | Ropes and Roses Therapy Services, LLC | Clinic/Center | 4250 Six Mile Rd, Casper, WY 82604-1939 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255797007 | Occupational Therapy Services | Clinic/Center | 612 Country Club Dr, Evanston, WY 82930-3252 | 2016-01-09 |
Please comment or provide details below to improve the information on GRAND TETON HEALING CENTER INC.
| 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.