Stillwater Hospice of Wyoming, LLC
Organization Active NPI Community Based Hospice Care Agency · Gillette, WY
NPI 1851472955 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1851472955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 07034 (WY)
- Legal business name
- STILLWATER HOSPICE OF WYOMING, LLC
- Practice address
- 300 South Burma Avenue
Gillette, WY 82716 - Phone
- (307) 688-6230
- Fax
- (307) 688-6210
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Christopher Graham
- Title
- Ceo
- Phone
- (406) 702-1742
Owners & managing parties with NPI records 11
-
Sara L Hartsaw, MD
Other NPIs with the same Medicare PAC ID 10
Practitioners 128
-
Daniel S Allen, DPM
-
Brian E. Austin, C.R.N.A.
-
Jacklyn Amy Baker, APRN
-
Attila T Barabas, M.D.
-
Autumn P. Barrett, PAC
-
Edward Patrick Bergin, MD, MS
-
Lila Jo Blakeman, NP-C
-
Chere A Bohr, APRN FNP-C
-
Judith M Boyle, M.D.
-
Sarah Catherine Clonch, MS, PPC
-
David K. Custis, PA-C
-
Leslie Dowdy, LPC
-
Echo Ora Rose Downey, PMHNP-BC
-
Nita R. Engineer, MD
-
Whitney Fevold, FNP
-
Allison Fraicola, PA-C
-
Cassidy John Graham, D.O.
-
Dana G Halbrooks, CRNA
Affiliated clinicians 1
-
Leslie J McLean, MD
Medicare Care Compare: Hospice
- Listed as
- Hospice of Campbell County Memorial Hospital
- Ownership
- Government
- Certified
- Dec 2, 2003
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Hospice certification: CCN 531519
- Legal name
- CAMPBELL COUNTY HOSPITAL DISTRICT
- Doing business as
- THE HOSPICE OF CAMPBELL COUNTY MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 2, 2003
- Last certification
- Jan 16, 2020
- Ownership / control type
- Government - County
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 17, 1986 in WY
- Enrollment address
- 300 S Burma Ave
Gillette, WY 82716-3415
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Alan Stuber |
Corporate Officer |
Dec 1, 2012 | |
| Campbell County Hospital District |
5% Or Greater Direct Ownership Interest | Jul 25, 2003 | 100% |
| Douglas Adam Popp |
Corporate Officer |
Mar 20, 2023 | |
| W-2 Managing Employee | Mar 20, 2023 | ||
| Sara L Hartsaw |
Corporate Officer |
Dec 9, 2010 | |
| Ashley Montague |
Corporate Director |
Aug 1, 2017 | |
| W-2 Managing Employee | Aug 1, 2017 | ||
| Randal R Hite |
Corporate Officer |
Nov 14, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100309000689 | WY | Part a Provider - Hospice | 2860392529 | Practice locations: Gillette, WY |
National Provider Directory
- Part of
- Community Mental Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 07034 | WY | Yes |
Addresses
Primary practice location
300 South Burma Avenue
Gillette, WY 82716
Mailing address
3737 Grand Ave.
Suite 1
Billings, MT 59102
Phone (307) 688-6230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106333213 | Medicaid | WY |
Other names
- Stillwater Hospice
- The Hospice of Campbell County Memorial Hospital
Other providers in Gillette, WY
- Step Stone Counseling, LLC
- Karrie Stephens
- Stephanie S Stevens
- Hollie Brooklyn Stewart
- Susette Ada Stiles-Hofland
- Laura Stimson
- Jason Allen Stirling
- Lorelee Stock
- Michael Stolpe
- Linda Stone-Soukup
All providers in Gillette, WY · Community Based Hospice Care Agency 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 10, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.