NPIMap

Organization Active NPI

Campbell County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Gillette, WY
National Provider Identifier
1649725532
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
P-905 Issued in WY
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Practice address
906 W 6TH St
Gillette, WY 82716-3435
Phone
(307) 688-8602
NPI assigned
Aug 20, 2016
Last updated
Aug 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Mr. Dalton Huber
Title
Chief Financial Officer
Phone
(307) 688-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X P-905 WY Primary

Addresses

Primary practice location

906 W 6TH St
Gillette, WY 82716-3435

Mailing address

906 W 6TH St
Gillette, WY 82716-3435
Phone (307) 688-8602

Other names 1

  • POWDER RIVER SURGERY CENTER Former legal business name

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

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1649725532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W 6TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163435",
            "telephone_number": "307-688-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 6TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163435",
            "telephone_number": "307-688-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "DALTON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "307-688-1523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WY",
            "license": "P-905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POWDER RIVER SURGERY CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.