Centrad Healthcare LLC

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1528136728

Centrad Healthcare LLC is a Parenteral & Enteral Nutrition Supplies (DME) in Casper, Wyoming. Licensed in Illinois and Wyoming. Registered with an NPI since 2006.

Licensed in: IL, WY
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

419 N Fenway St
Casper, WY 82601-2134
Phone: (307) 266-4434
Fax: (307) 266-4454

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary)	Taxonomy 332BP3500X · Licence 203000502 (IL)
Oxygen Equipment & Supplies (DME)	Taxonomy 332BX2000X · Licence 2389 (WY)

Record details

NPI number	1528136728
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Gidgett Callaghan — Vp, Reimbursement · (630) 369-5840
NPI enumerated	December 4, 2006
Last updated in NPPES	April 7, 2009
Mailing address	184 Shuman Blvd, Suite 130, Naperville, IL 60563-1219