Provider Demographics
NPI:1235590639
Name:UNITED ENERGY WORKERS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:UNITED ENERGY WORKERS HEALTHCARE, LLC
Other - Org Name:UNITED ENERGY WORKERS HEALTHCARE, CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-856-2600
Mailing Address - Street 1:614 E MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4459
Mailing Address - Country:US
Mailing Address - Phone:631-897-8007
Mailing Address - Fax:307-856-2400
Practice Address - Street 1:105 RICHESON DR STE B
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2929
Practice Address - Country:US
Practice Address - Phone:307-856-2600
Practice Address - Fax:307-856-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health