GILLETTE INFUSION CENTER LLC (NPI# 1982977732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982977732 |
| Entity Type | Organization |
| Organization Name | GILLETTE INFUSION CENTER LLC |
| Practice Address |
1503 Cressett St Gillette WY 92716 |
| Mailing Address |
1503 Cressett Gillette WY 92716 |
| Practice Telephone | 3076864940 |
| Mailing Telephone | 3076864940 |
| Mailing Fax Number | 3076821811 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | RAOUL JOUBRAN (PRESIDENT) |
| Authorized Official Telephone | 3076864940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1503 CRESSETT ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 92716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811289218 | Fsc LLC | Clinic/Center | 1503 Cressett St, Gillette, WY 82716-3339 | 2011-05-04 |
| 1730740291 | Summit Anesthesiology Consultants, LLC | Anesthesiology | 1503 Cressett St, Gillette, WY 82716-3339 | 2019-06-25 |
| 1093063596 | W.michael Crosby M.d. PC | Anesthesiology | 1503 Cressett St, Gillette, WY 82716-3339 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1962009811 | Natalie Murphy | Physical Therapist | 620 4 J Ct Unit B, Gillette, WY 82716-4130 | 2020-10-05 |
| 1114531118 | Wyoming Medical Associates, LLC | Clinic/Center | 1013 E Boxelder Rd Ste 210, Gillette, WY 82718-5941 | 2020-09-07 |
| 1639783335 | Advanced Surgical Care of Wyoming, LLC | Clinic/Center | 51 Town Center Dr Ste 140, Gillette, WY 82718-5521 | 2020-09-01 |
| 1174132799 | Tera Marie Harvel | Clinical Nurse Specialist | 501 S Burma, Gillette, WY 82716-8271 | 2020-07-29 |
| 1497363766 | Darylene L Wadsack | Social Worker | 501 Burma Ave., Gillette, WY 82716-8271 | 2020-07-22 |
| 1679191118 | Hannah Rose Beltz | Lactation Consultant, Non-RN | 5508 Roany Rd, Gillette, WY 82718-8477 | 2020-07-10 |
| 1851919427 | Ivyrehab Network, Inc. | Physical Medicine & Rehabilitation | 977 Valley Rd Unit G, Gillette, NJ 07933-1813 | 2020-07-10 |
| 1164040226 | Paula Marie Monlux | Registered Nurse | 2500 Dove Rd, Gillette, WY 82718-7109 | 2020-07-06 |
| 1376169128 | Jodi Thornhill | Day Training, Developmentally Disabled Services | 900 Camel Dr. Ste. Gg, Pmb #154, Gillette, WY 82716-4974 | 2020-06-17 |
| Find all providers in GILLETTE | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417316746 | Coram Alternate Site Services, Inc. | Clinic/Center | 407 S Medical Arts Ct Ste B, Gillette, WY 82716-3372 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720035249 | Coram Healthcare of Wyoming, LLC | Clinic/Center | 1507 Stillwater Ave, Suite C, Cheyenne, WY 82009-7358 | 2006-05-29 |
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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.