CAMPBELL COUNTY HOSPITAL DISTRICT (NPI# 1144313255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144313255 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HOSPITAL DISTRICT |
| Practice Address |
501 S Burma Ave Gillette WY 82716-3426 |
| Practice Telephone | 3076881415 |
| Practice Fax Number | 3076881420 |
| Mailing Telephone | 3076881415 |
| Mailing Fax Number | 3076881420 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | DALTON HUBER (CFO) |
| Authorized Official Telephone | 3076881523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
06-210 | WY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278501 | Campbell County Hospital District | Ambulance | 502 Stocktrail Ave, Gillette, WY 82716-3554 | 2019-04-30 |
| 1285107987 | Campbell County Hospital District | Durable Medical Equipment & Medical Supplies | 508 Stocktrail Avenue Upper Level, Gillette, WY 82716-3582 | 2019-01-04 |
| 1649725532 | Campbell County Hospital District | Clinic/Center | 906 W 6th St, Gillette, WY 82716-3435 | 2016-08-20 |
| 1790101947 | Campbell County Hospital District | Pediatrics | 800 Butler Spaeth Rd, Gillette, WY 82716-4612 | 2014-03-12 |
| 1811264732 | Campbell County Hospital District | Psychiatry & Neurology | 501 S Burma Ave 3n-neuro, Gillette, WY 82716-3426 | 2011-11-21 |
| 1932404084 | Campbell County Hospital District | General Acute Care Hospital | 501 S Burma Ave - 3s-uro, Gillette, WY 82716-3426 | 2011-01-21 |
| 1851429815 | Campbell County Hospital District | Durable Medical Equipment & Medical Supplies | 901 W 2nd St, Gillette, WY 82716-3404 | 2007-03-01 |
| 1376620989 | Campbell County Hospital District | Nursing Facility/Intermediate Care Facility | 1000 S Douglas Highway, Gillette, WY 82716 | 2006-11-01 |
| 1851472955 | Campbell County Hospital District | Hospice Care, Community Based | 300 South Burma Avenue, Gillette, WY 82716 | 2006-10-17 |
| 1265547350 | Campbell County Hospital District | Home Health | 300 S Burma Ave, Gillette, WY 82716 | 2006-08-20 |
| Street Address |
501 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257720 | Alan L Mitchell | Radiology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2005-07-01 |
| 1730796087 | Jenae Elizabeth Schoenike | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-09-29 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1396354221 | Nancy Dillie | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-27 |
| 1538777800 | Devin Rae Vance | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1851909295 | Barry Shannon | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1255949525 | Lisa Jackson-eldridge | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1083222483 | Derek Friedlan | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-21 |
| 1295377414 | Charmaine Abigan Jaiver | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-10-09 |
| 1841844172 | Daniel Bryan Rust | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392261 | Usrc Casper, LLC | Clinic/Center | 1300 Venture Way, Suite 100, Casper, WY 82609-4353 | 2016-08-31 |
| 1790824530 | Shoshone Tribe | Clinic/Center | 11 Shipton Lane, Fort Washakie, WY 82514 | 2007-02-06 |
| 1952413759 | Bio-medical Applications of Wyoming LLC | Clinic/Center | 1739 Meadowland Drive, Cheyenne, WY 82009-5249 | 2006-08-31 |
| 1255304051 | Evanston Hospital Corporation | Clinic/Center | 112 Yellow Creek Rd, Evanston, WY 82930-9266 | 2006-02-10 |
| 1508837865 | Wyoming Kidney Center, LLC | Clinic/Center | 1141 Wilkins Cir, Casper, WY 82601-1332 | 2006-01-26 |
| 1730562372 | Watt Dialysis Center LLC | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-07-01 |
| 1669818969 | Big Horn Basin Regional Dialysis Center LLC | Clinic/Center | 424 Yellowstone Ave, Suite 150, Cody, WY 82414-9309 | 2013-05-14 |
| 1609932383 | Billings Clinic | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2006-12-28 |
| 1295815744 | West Park Hospital District | Clinic/Center | 707 Sheridan Ave, Cody, WY 82414-3409 | 2006-10-17 |
Please comment or provide details below to improve the information on CAMPBELL COUNTY HOSPITAL DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.