CAMPBELL COUNTY HOSPITAL DISTRICT (NPI# 1487638417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487638417 |
| 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 | 2005-12-02 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | MR. ANDY FITZGERALD (CEO) |
| Authorized Official Telephone | 3076881520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 06-210 | WY | Hospitals |
| 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 |
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| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932404084 | Campbell County Hospital District | General Acute Care Hospital | 501 S Burma Ave - 3s-uro, Gillette, WY 82716-3426 | 2011-01-21 |
| 1346624376 | Campbell County Hospital District | General Acute Care Hospital | 501 S Burma Ave, Gillette, WY 82716-3426 | 2015-07-20 |
| 1508069741 | Campbell County Memorial Hospital | General Acute Care Hospital | 501 S Burma Ave, Gillette, WY 82716-3426 | 2007-06-06 |
| 1780738153 | Campbell County Hospital District | General Acute Care Hospital | 501 S Burma Ave, Gillette, WY 82716-3426 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1518178359 | Casper Medical Center LLC | General Acute Care Hospital | 6550 E 2nd Street, Casper, WY 82609-4321 | 2007-05-24 |
| 1942395090 | Wyoming Behavioral Institution | General Acute Care Hospital | 2521 East 15th St, Casper, WY 82602 | 2006-10-04 |
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1902277916 | Casper Medical Center LLC | General Acute Care Hospital | 720 Lindsay Ln, Cody, WY 82414-4103 | 2015-10-16 |
| 1275916660 | Cheyenne Regional Medical Center | General Acute Care Hospital | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2015-07-02 |
| 1710379144 | Vamc Cheyenne | General Acute Care Hospital | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2015-02-23 |
| 1063840775 | Memorial Hospital of Sweetwater County | General Acute Care Hospital | 1200 College Drive, Rock Springs, WY 82901 | 2013-10-16 |
| 1669654786 | Lander Regional Hospital | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-11-30 |
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| 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.