NPIMap

Organization Active NPI

Campbell County Memorial Hospital Home Medical Resources

  • Oxygen Equipment & Supplies (DME)
  • Gillette, WY
National Provider Identifier
1881639144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
17004748 Issued in WY
Legal business name
CAMPBELL COUNTY MEMORIAL HOSPITAL HOME MEDICAL RESOURCES
Practice address
1708 W Highway 14-16
Gillette, WY 82716-3342
Phone
(307) 688-6260
Fax
(307) 688-6265
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andy Fitzgerald
Title
Executive Vice President
Phone
(307) 688-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 17004748 WY Primary

Addresses

Primary practice location

1708 W Highway 14-16
Gillette, WY 82716-3342

Mailing address

1708 W Highway 14-16
Gillette, WY 82716-3342
Phone (307) 688-6260

Other identifiers 1

IdentifierTypeStateIssuer
312799OtherWYPROVIDER NUMBER FOR BCBS

National Provider Directory

National Provider Directory
Tax ID family
Laura Anders MD35 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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881639144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W HIGHWAY 14-16",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163342",
            "telephone_number": "307-688-6260",
            "fax_number": "307-688-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W HIGHWAY 14-16",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163342",
            "telephone_number": "307-688-6260",
            "fax_number": "307-688-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNTY MEMORIAL HOSPITAL HOME MEDICAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "307-688-1520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WY",
            "license": "17004748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER FOR BCBS",
            "identifier": "312799",
            "state": "WY"
        }
    ],
    "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 22, 2020; 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.