CAMPBELL COUNTY HOSPITAL DISTRICT (NPI# 1265547350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265547350 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CAMPBELL COUNTY MEMORIAL HOSPITAL HOME HEALTH |
| Practice Address |
300 S Burma Ave Gillette WY 82716 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076886230 |
| Practice Fax Number | 3076886210 |
| Mailing Telephone | 3076881551 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | ANDREW FITZGERALD (EXECUTIVE VICE PRES; INTERIM CEO) |
| Authorized Official Telephone | 3076881551 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMPBELL COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 07-093 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106333202 | 05 |
| Other Name | Type Code |
|---|---|
| Campbell County Memorial Hospital Home Health | 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 |
| 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 |
| 1225081649 | Campbell County Hospital District | Clinic/Center | 500 Latigo Drive, Wright, WY 82732-0100 | 2006-05-18 |
| Street Address |
300 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558820050 | Margaret Quiriarte | Registered Nurse | 300 S Burma Ave, Gillette, WY 82716-3415 | 2019-03-14 |
| 1801368121 | Maria Teresa Remolana Kessel | Physical Therapist | 300 S Burma Ave, Gillette, WY 82716-3415 | 2018-12-27 |
| 1396022539 | Daniel Paul Turner | Social Worker | 300 S Burma Ave, Gillette, WY 82716-3415 | 2011-11-15 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941813 | Atlantic Home Health Care, LLC | Home Health | 201 W Lakeway Rd, Gillette, WY 82718-6361 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315350 | Lhcg Clxxiii LLC | Home Health | 907 N Poplar St Ste 277, Casper, WY 82601-1345 | 2020-10-27 |
| 1982226700 | Wyoming Home Care | Home Health | 307 E 18th St, Cheyenne, WY 82001-4613 | 2020-05-14 |
| 1497375182 | Red-horizon Home Health Care LLC | Home Health | 433 E 19th St Ste 2, Cheyenne, WY 82001-4992 | 2020-04-22 |
| 1932769148 | Joy Lynn Erickson | Home Health | 390 S First St Lot # 2, Lander, WY 82520-3393 | 2019-06-19 |
| 1912475930 | Best Home Health & Hospice LLC | Home Health | 105 Yellow Creek Rd, Evanston, WY 82930-5202 | 2018-11-07 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1871083493 | Cardinal Energy Home Care, LLC | Home Health | 124 E Madison Ave, Riverton, WY 82501-4625 | 2018-05-18 |
| 1336652452 | Casper Home Health, LLC | Home Health | 3211 Energy Ln Ste 310, Casper, WY 82604-2963 | 2017-11-10 |
| 1891213187 | Mel's Helping Hands | Home Health | 2742 Shumway St., Casper, WY 82601-5194 | 2017-09-06 |
| 1336661933 | Davis Home Health LLC | Home Health | 101 West Crook Street, Moorcroft, WY 82721-0841 | 2017-07-14 |
| 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.