HIGH DESERT HEALTHCARE LLC


Address: 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718
Phone: 3072577620

HIGH DESERT HEALTHCARE LLC (NPI# 1750726212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750726212
Entity Type Organization
Organization Name HIGH DESERT HEALTHCARE LLC
Other Organization Name HIGH DESERT HEALTHCARE
Practice Address 1013 East Boxelder Rd
Suite 200
Gillette
WY 82718
Practice Telephone 3072577620
Practice Fax Number 3072577618
Mailing Telephone 3072577620
Mailing Fax Number 3072577618
Enumeration Date 2013-05-09
Last Update Date 2018-10-11
Authorized Official Name ALICIA MAE LEPARD (OWNER)
Authorized Official Telephone 3072577620
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
WY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
High Desert Healthcare Doing Business As Name - Organization

Office Location

Street Address 1013 EAST BOXELDER RD
SUITE 200
City GILLETTE
State WY
Zip Code 82718

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851535793 Healthworks Med Group of Wyoming, PC Clinic/Center 430 S Medical Arts Ct, Gillette, WY 82716-3364 2009-04-22

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1164650719 Rocky Mountain Family Medicine LLC Clinic/Center 5840 E 2nd St. Suite 200, Casper, WY 82601 2009-06-22
1639359045 Sunrise Chiropractic Inc Clinic/Center 1439 Stillwater Ave Ste 5, Cheyenne, WY 82009-7367 2007-11-14
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1265521363 Medcor of Barrington, PC Clinic/Center One Mammoth Hot Springs, Yellowstone Nat'l Park, Mammoth, WY 82190 2006-10-12
1811925423 Bhs Physician Services - Torrington Clinic/Center 625 Albany Ave, Torrington, WY 82240-1530 2006-06-30
1235170705 St. Vincent Healthcare Clinic/Center 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 2006-06-08
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Competitor

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City GILLETTE
Zip Code 82718

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Dataset Information

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.

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