Douglas Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

07192 Issued in WY

Legal business name

DOUGLAS CARE CENTER, LLC

Practice address

1108 Birch St
Douglas, WY 82633-2761

Phone

(307) 358-3397

Fax

(307) 358-1891

NPI assigned

Mar 29, 2007

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ramon Joseph Rude

Title

Partner

Phone

(406) 655-1883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aberdeen Care Center dba Douglas Care Center Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karli McMillan, D.O.

  • Family Medicine Physician
  • Douglas, WY
  • NPI 1063947026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1306965165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BIRCH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332761",
            "telephone_number": "307-358-3397",
            "fax_number": "307-358-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BIRCH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332761",
            "telephone_number": "307-358-3397",
            "fax_number": "307-358-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "RUDE",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "406-655-1883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WY",
            "license": "07192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123218500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Care Center dba Douglas Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Lee Darr, OTR
• Calee Jo Davidson, PHARMD
• Tanisha Crystal Dexter
• Barbara Gayle Dillard/Simms
• Judy J Dishman
• Douglas Care Center, LLC
• Douglas Med Spa LLC
• Douglas Medical Skincare & Health Clinic
• Amanda Kay Dykes, FNP-BC
• Nathaniel John Eakins, DPT

• Skilled Nursing Facility in Douglas, WY
• Providers in Douglas, WY by specialty
• Skilled Nursing Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.