CAMPBELL COUNTY HOSPITAL DISTRICT (NPI# 1790101947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790101947 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CAMPBELL COUNTY CLINICS- KID CLINIC |
| Practice Address |
800 Butler Spaeth Rd Gillette WY 82716-4612 |
| Mailing Address |
Po Box 3046 Gillette WY 82717-3046 |
| Practice Telephone | 3076888700 |
| Mailing Telephone | 3076882665 |
| Mailing Fax Number | 3076853079 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | WILLIAM A FITZGERALD (CEO) |
| Authorized Official Telephone | 3076881520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Campbell County Clinics- Kid Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1225081649 | Campbell County Hospital District | Clinic/Center | 500 Latigo Drive, Wright, WY 82732-0100 | 2006-05-18 |
| Street Address |
800 BUTLER SPAETH RD |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451554 | Lexie Honey | Social Worker | 800 Butler Spaeth Rd, Gillette, WY 82716-4612 | 2015-07-09 |
| 1659775880 | Sarah Catherine Clonch | Counselor | 800 Butler Spaeth Rd, Gillette, WY 82716-4612 | 2014-10-17 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124190277 | Linda Kamil Abujaber-ammari | Pediatrics | 1300 W 4th St, Gillette, WY 82716 | 2006-11-14 |
| 1982246989 | Campbell County Hospital District | Pediatrics | 1308 W 4th St, Gillette, WY 82716-3330 | 2019-10-10 |
| 1285146241 | Campbell County Hospital District | Pediatrics | 501 S Burma Ave, Gillette, WY 82716-3426 | 2017-10-31 |
| 1669851051 | Kyle H Sabey | Pediatrics | 501 S Burma Ave, Gillette, WY 82716-3426 | 2015-05-19 |
| 1932543881 | Richard Vo | Pediatrics | 501 S Burma Ave, Gillette, WY 82716-3426 | 2013-04-23 |
| 1558672253 | Vijaya Madhavi Koduri | Pediatrics | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1801291240 | John Richard Hillman | Pediatrics | 1217 W Powell Rd, Cheyenne, WY 82009-1019 | 2014-10-28 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1568751014 | Peter Damian Sidor | Pediatrics | 1220 Sunshine Ave Ste 101, Cody, WY 82414-4247 | 2011-04-05 |
| 1376840587 | Colleen R. Shaw | Pediatrics | 916 Jackson Avenue, Sheridan, WY 82801 | 2011-02-24 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1730324872 | Wyoming Health Medical Group, LLC | Pediatrics | 167 S Conwell St, Ste 3, Casper, WY 82601-2749 | 2008-12-03 |
| 1821247727 | Katarzyna M Zarzycki | Pediatrics | 2301 House Ave Ste 405, Cheyenne, WY 82001-3180 | 2008-09-16 |
| 1225203011 | Tom Pockat Md PC | Pediatrics | 555 E. Broadway St., Suite 202, Jackson, WY 83001-4182 | 2008-04-23 |
| 1316072788 | Lucase H Wang | Pediatrics | 1300 E A St Ste 206, Casper, WY 82601-2252 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
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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.