Campbell County Hospital District
Organization Active NPI Multi-Specialty Clinic/Center · Gillette, WY
NPI 1447512959 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1447512959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CAMPBELL COUNTY HOSPITAL DISTRICT
- Practice address
- 508 Stocktrail Ave Ste a
Gillette, WY 82716-3582 - Phone
- (307) 686-1413
- Fax
- (307) 682-1113
- NPI assigned
- Jun 11, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- CAMPBELL COUNTY HOSPITAL DISTRICT
Authorized official
- Name
- Kelley Underwood
- Title
- Patient Financial Services Manager
- Phone
- (307) 688-1492
Other NPIs on the same Medicare enrollment 27
Practitioners 1
-
Sean Michael Schoonover, P.A.-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000510 | WY | Part B Supplier - Clinic/Group Practice | 2860392529 |
Receives reassigned benefits from 299 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wright, WY; Gillette, WY; Sheridan, WY; Hulett, WY |
National Provider Directory
- Part of
- Community Mental Health Services
Locations
2360 Wetlands Dr
Sheridan, WY 82801
Phone (307) 322-6114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | WY | Yes |
Addresses
Primary practice location
508 Stocktrail Ave Ste a
Gillette, WY 82716-3582
Mailing address
508 Stocktrail Ave Ste a
Gillette, WY 82716-3582
Phone (307) 686-1413
Other names
- Wyoming Orthopedics & Spine
Other providers in Gillette, WY
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
- Campbell County Hospital District
All providers in Gillette, WY · Multi-Specialty Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.