BOOST HEALTH, LLC (NPI# 1699245605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699245605 |
| Entity Type | Organization |
| Organization Name | BOOST HEALTH, LLC |
| Practice Address |
623 N Commercial Dr Gillette WY 82716-2555 |
| Mailing Address |
Po Box 2620 Gillette WY 82717-2620 |
| Practice Telephone | 3076809760 |
| Mailing Telephone | 3076809760 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | DUSTIN MARTINSON (MBR) |
| Authorized Official Telephone | 3076809760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BOOST HEALTH, LLC | 959 Se Division St Ste 330, Portland, OR 97214 |
| Street Address |
623 N COMMERCIAL DR |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-2555 |
| 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 |
| 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 |
| 1770767279 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 2610 S Douglas Hwy, Gillette, WY 82718-6468 | 2007-12-20 |
| 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.