MEDICARE: TROY MATTHEW CAMPBELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1053092031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY MATTHEW CAMPBELL

Provider Business Mailing Address
First Line	:	11055 E WAGON TRAIL RD
Second Line	:
City	:	EVANSVILLE
State	:	WY
Zip	:	82636-9680
Country	:	US
Telephone Number	:	307-258-7917
Fax Number	:

Provider Business Practice Location Address
First Line	:	11055 E WAGON TRAIL RD
Second Line	:
City	:	EVANSVILLE
State	:	WY
Zip	:	82636-9680
Country	:	US
Telephone Number	:	307-258-7917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	10/24/2023

Similar Medicare Providers

1821536749 — MELISSA CAMPBELL
Practice Location Address:

11055 E WAGON TRAIL RD
EVANSVILLE, WY
82636-9680

Practice Phone: 307-258-0511
Practice Fax:

1851124937 — CAMPBELL AND CREW LLC
Practice Location Address:

11055 E WAGON TRAIL RD
EVANSVILLE, WY
82636-9680

Practice Phone: 307-258-0511
Practice Fax:

1881748051 — JOAN GOODALE
Practice Location Address:

8614 E STONEWOOD ST
EVANSVILLE, WY
82636-9635

Practice Phone: 307-265-2026
Practice Fax:

1356488555 — MRS. VELVET DAWN LOCKLIN R.N.
Practice Location Address:

11002 RIDGEVIEW RD
EVANSVILLE, WY
82636-9825

Practice Phone: 307-267-4101
Practice Fax: 307-234-9329

1164558045 — MRS. MARY E OPITZ
Practice Location Address:

12263 E HENRIE ROADWAY
EVANSVILLE, WY
82636-9611

Practice Phone: 307-234-8019
Practice Fax: 307-266-4347

1255655114 — JERI L MARKWORTH
Practice Location Address:

7539 E GEARY DOME RD
EVANSVILLE, WY
82636-9692

Practice Phone: 307-797-0827
Practice Fax:

Directions to “ TROY MATTHEW CAMPBELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.