Provider Demographics
NPI:1912084740
Name:REDI CARE, P.C.
Entity Type:Organization
Organization Name:REDI CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER - REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCKINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:307-685-2273
Mailing Address - Street 1:2610 S DOUGLAS HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-6468
Mailing Address - Country:US
Mailing Address - Phone:307-685-2273
Mailing Address - Fax:307-682-2727
Practice Address - Street 1:2610 S DOUGLAS HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-6468
Practice Address - Country:US
Practice Address - Phone:307-685-2273
Practice Address - Fax:307-682-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY313181OtherDR. K. PATEL BCBS
WY1730186255OtherLORI MCKINSEY NPI
WY313182OtherLORI MCKINSEY BCBS
WY20568Medicare PIN
WYE66221Medicare UPIN
WY20569Medicare PIN
WY313181OtherDR. K. PATEL BCBS