Healthcare Provider Details

I. General information

NPI: 1124963210
Provider Name (Legal Business Name): CAMPBELL COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 STOCKTRAIL AVE STE A
GILLETTE WY
82716-3582
US

IV. Provider business mailing address

508 STOCKTRAIL AVE STE A
GILLETTE WY
82716-3582
US

V. Phone/Fax

Practice location:
  • Phone: 307-686-1413
  • Fax: 307-682-1113
Mailing address:
  • Phone: 307-686-1413
  • Fax: 307-682-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS ADAM POPP
Title or Position: CFO
Credential:
Phone: 307-688-1523