Organization
WILLIAM H AND CARRIE GOTTSCHE FOUNDATION
Active
Other names
Gottsche Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A SHERO (EXECUTIVE DIRECTOR)
(307) 864-2146
Entity
Organization
Contact information
Practice address
148 E ARAPAHOE ST, THERMOPOLIS, WY 82443-2402
(307) 864-2146
(307) 864-2857
Mailing address
PO BOX 790, THERMOPOLIS, WY 82443-0790
(307) 864-2146
(307) 864-2857
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
06-045
WY
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106030900
—
WY
01
—
239850900
US DEPARTMENT OF LABOR
WY
01
—
DB3572
PALMETTO GBA (RAILROAD MEDICARE)
WY
Enumeration date
05/04/2006
Last updated
11/13/2023
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