Healthcare Provider Details

I. General information

NPI: 1912084740
Provider Name (Legal Business Name): REDI CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 S DOUGLAS HWY SUITE 200
GILLETTE WY
82718-6468
US

IV. Provider business mailing address

2610 S DOUGLAS HWY SUITE 200
GILLETTE WY
82718-6468
US

V. Phone/Fax

Practice location:
  • Phone: 307-685-2273
  • Fax: 307-682-2727
Mailing address:
  • Phone: 307-685-2273
  • Fax: 307-682-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LORI E MCKINSEY
Title or Position: PROVIDER - REGISTERED AGENT
Credential: FNP-C
Phone: 307-685-2273