Healthcare Provider Details

I. General information

NPI: 1487593620
Provider Name (Legal Business Name): TNC MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 OXFORD LN
CASPER WY
82604-3215
US

IV. Provider business mailing address

2501 CHATHAM RD STE 6341
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 432-293-4331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERRY HAUGSTAD
Title or Position: CEO
Credential:
Phone: 432-293-4311