POWDER RIVER SURGERY CENTER
NPI 1780738153
Clinic/Center - Ambulatory Surgical in Gillette, WY
- Organization
- Clinic/Center
- Ambulatory Surgical
About POWDER RIVER SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Powder River Surgery Center, a provider established in Gillette, Wyoming operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1780738153 assigned on January 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 15210 (WY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Powder River Surgery Center. The authorized official of this NPI record is Michelle Kioschos Rn (Director)
- NPI
- 1780738153 Verify this NPI
- Provider Legal Name
- CAMPBELL COUNTY HOSPITAL DISTRICT
- Other Organization Name
- POWDER RIVER SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 501 S BURMA AVE GILLETTE, WY 82716
- Location Phone
- (307) 688-8600
- Mailing Address
- 906 W 6TH ST SUITE C GILLETTE, WY 82716
- Mailing Phone
- (307) 688-8600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-23-2007
- Last Update Date
- 03-06-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 15210
- License State
- WY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | 15210 (WY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53-0002 | MEDICARE PIN (08) | WY |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GILLETTE, WY 82716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780738153, enumerated as an "organization" on January 23, 2007.
The provider is located at 501 S BURMA AVE GILLETTE, WY 82716 and the phone number is (307) 688-8600.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
