NPIMap

Organization Active NPI

Children's Developmental Services of Campbell County

  • Clinic/Center
  • Gillette, WY
National Provider Identifier
1801088497
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDREN'S DEVELOPMENTAL SERVICES OF CAMPBELL COUNTY
Practice address
1801 S 4J Rd
Gillette, WY 82718-5201
Phone
(307) 682-2392
Fax
(307) 682-8463
NPI assigned
Aug 16, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Earlene Hastings
Title
Executive Director
Phone
(307) 682-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WY Primary

Addresses

Primary practice location

1801 S 4J Rd
Gillette, WY 82718-5201

Mailing address

1801 S 4J Rd
Gillette, WY 82718-5201
Phone (307) 682-2392

National Provider Directory

National Provider Directory

Locations

1801 S 4J Rd
Gillette, WY 82718
Phone (307) 682-2392

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1801088497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 4J RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185201",
            "telephone_number": "307-682-2392",
            "fax_number": "307-682-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 4J RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185201",
            "telephone_number": "307-682-2392",
            "fax_number": "307-682-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DEVELOPMENTAL SERVICES OF CAMPBELL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "EARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-682-2392"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 17, 2007; 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.