CAMPBELL COUNTY HOSPITAL DISTRICT NPI 1780738153

NPI Information

  • NPI: 1780738153
  • Provider Name: CAMPBELL COUNTY HOSPITAL DISTRICT
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: POWDER RIVER SURGERY CENTER
  • CLIA Number: 53D1017128
  • Address: 501 S BURMA AVE
    GILLETTE, WY
    ZIP 82716
  • Phone: (307) 688-8600

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NPI Details

CAMPBELL COUNTY HOSPITAL DISTRICT is an ambulatory surgical clinic center in Gillette, WY. CAMPBELL COUNTY HOSPITAL DISTRICT NPI is 1780738153. The provider is registered as an organization entity type.
The provider Is Doing Business As Powder River Surgery Center.

The provider's business location address is:

501 S BURMA AVE
GILLETTE, WY
ZIP 82716-426
Phone: (307) 688-8600

The provider's authorized official is Michelle Kioschos .
The authorized official title is Director and has the following contact phone number (307) 688-8600.

The CLIA number assigned to this NPI record is 53D1017128 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital15210WYOMINGNo
2261QA1903XClinic/CenterAmbulatory Surgical15210WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
153-0002MEDICARE PINWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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