NPIMap

Organization Active NPI

Campbell County Hospital District

  • General Acute Care Hospital
  • Gillette, WY
National Provider Identifier
1487638417
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06-210 Issued in WY
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Practice address
501 S Burma Ave
Gillette, WY 82716-3426
Phone
(307) 688-1415
Fax
(307) 688-1420
NPI assigned
Dec 2, 2005
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Douglas Adam Popp
Title
Cfo
Phone
(307) 688-1523

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 06-210 WY Primary
Ambulance 341600000X NU

Addresses

Primary practice location

501 S Burma Ave
Gillette, WY 82716-3426

Mailing address

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1415

Other practice location 1

131 Red Devil Dr Ste 2
Hulett, WY 82720-5047
Phone (307) 688-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000248 WY Part A Provider - Hospital 2860392529 1 other NPI on this enrollment
Practice locations: Gillette, WY; Hulett, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487638417. Details of each certification follow.

Hospital certification: CCN 530002

Legal name
CAMPBELL COUNTY HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 29, 2018
Beds
119
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 1974 in WY
Enrollment address
501 S Burma Ave
Gillette, WY 82716-3426
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Campbell County HealthCCN 530002 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Wyoming Regional Counseling35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerard Klein Individual Corporate OfficerCoo Sep 9, 2020
W-2 Managing Employee Sep 9, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Hospice of Campbell County Memorial HospitalGillette, WY, CCN 531519 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 25, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

Affiliated clinicians 312

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1487638417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1415",
            "fax_number": "307-688-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1415",
            "fax_number": "307-688-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Red Devil Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hulett",
            "state": "WY",
            "postal_code": "827205047",
            "country_code": "US",
            "telephone_number": "307-688-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMPBELL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-688-1523"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WY",
            "license": "06-210",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.