Grand Teton Healing Center Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

TL #1019 Issued in WY

Legal business name

GRAND TETON HEALING CENTER INC

Practice address

5715 E 2ND St
Casper, WY 82609-4322

Phone

(303) 949-1292

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gene Slocum, MD

Title

Doctor/Owner

Phone

(303) 949-1292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1609020254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 WEDGEWOOD DRIVE",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "281-833-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094322",
            "telephone_number": "303-949-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TETON HEALING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "303-949-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WY",
            "license": "TL #1019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Grace
• Daisy Yasmin Grado
• Agatha Christie Graham
• Rachel Graham, PA-C
• Ruthanne Grajeda
• Diana M Graney, RD
• Michael J. Granum, M.D.
• Constance Blaine Grau, DO
• Venese Ann Graunke, MSN, FNP-C
• Desiree Kandra Gray-Mefferd

• Rehabilitation Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Rehabilitation Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.