CAMPBELL COUNTY HOSPITAL DISTRICT (NPI# 1811264732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811264732 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CAMPBELL COUNTY CLINICS - NEUROLOGY & PAIN |
| Practice Address |
501 S Burma Ave 3n-neuro Gillette WY 82716-3426 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076883500 |
| Practice Fax Number | 3076883510 |
| Mailing Telephone | 3076883500 |
| Mailing Fax Number | 3076883510 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | WILLIAM A FITZGERALD (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3076881520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
8793A | WY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Campbell County Clinics - Neurology & Pain | 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 |
| 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 |
501 S BURMA AVE 3N-NEURO |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
| 1083793863 | Allen L Gee | Psychiatry & Neurology | 1008 13th St, Suite A, Cody, WY 82414-3677 | 2006-11-03 |
| 1407942501 | Western Wyoming Neurology PC | Psychiatry & Neurology | 2751 Commercial Way, Rock Springs, WY 82901-4753 | 2006-10-05 |
| 1013008416 | David B Wheeler | Psychiatry & Neurology | 1020 East 2nd Street, Ste 100, Casper, WY 82601-2955 | 2006-09-28 |
| 1750472403 | Peter Crane | Psychiatry & Neurology | 105 Wyoming St, Lander, WY 82520-3391 | 2006-09-27 |
| 1699701532 | Frank R Wheeler | Psychiatry & Neurology | 427 Lincoln St, Lander, WY 82520-2831 | 2006-06-23 |
| 1316920549 | Reed Clifton Shafer | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-22 |
| 1104813930 | Thomas Otto Mayer | Psychiatry & Neurology | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2005-10-06 |
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1952923971 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-05-13 |
| 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.