NPIMap

Organization Active NPI

Campbell County Hospital District

Doing business as Campbell County Health

  • Community/Retail Pharmacy
  • Gillette, WY
National Provider Identifier
1992874218
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Doing business as
Campbell County Health
Practice address
430 S Medical Arts CT
Gillette, WY 82716-3364
Phone
(307) 688-3333
Fax
(307) 688-3336
NPI assigned
Nov 8, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mr. Matthew Shahan
Title
Ceo
Phone
(307) 688-1502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X 5201126 WY

Addresses

Primary practice location

430 S Medical Arts CT
Gillette, WY 82716-3364

Mailing address

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Other names 1

  • Campbell County Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626001247 WY Part B Supplier - Pharmacy 2860392529 Practice locations: Gillette, WY

Other NPIs with the same Medicare PAC ID 10

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

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

Locations

23623 N Scottsdale Rd
Scottsdale, AZ 85255

1000 S Douglas Hwy
Gillette, WY 82716
Phone (307) 688-7000

1201 W 2nd St
Gillette, WY 82716
Phone (307) 688-6260

407 S Medical Arts Ct
Ste C
Gillette, WY 82716
Phone (307) 686-7346

501 S Burma Ave
#3S
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Fl 5
Gillette, WY 82716
Phone (307) 660-7297

501 S Burma Ave
Ste 3500
Gillette, WY 82716
Phone (307) 688-3500

501 S Burma Ave
Ste 3SURO
Gillette, WY 82716
Phone (307) 688-3636

900 W 6TH St
Gillette, WY 82716
Phone (307) 687-5391

901 W 2nd St
Gillette, WY 82716
Phone (307) 688-6230

1156 N Main St
Sheridan, WY 82801
Phone (307) 672-3457

Ownership & related parties

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 309

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 309

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1992874218",
    "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": "307-688-1000",
            "fax_number": "307-688-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MEDICAL ARTS CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163364",
            "telephone_number": "307-688-3333",
            "fax_number": "307-688-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "SHAHAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-688-1502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WY",
            "license": "5201126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell County Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.