CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP
NPI 1063575611
Emergency Medicine in Gillette, WY

Q: What is Campbell County Hospital District's NPI number?

The NPI number for Campbell County Hospital District is 1063575611. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Camp County Memorial Hospital - Physician Group.

Q: What is Campbell County Hospital District's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 18, 2006

501 S BURMA AVE, GILLETTE, WY 82716(307) 688-1415(307) 688-1420 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Camp County Memorial Hospital - Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP (NPI 1063575611) is a healthcare organization registered as an emergency medicine in Gillette, Wyoming and active in the NPI registry since December 2006. The organization lists William A Fitzgerald, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1063575611

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameCAMPBELL COUNTY HOSPITAL DISTRICT

Location Address501 S BURMA AVEGillette, WY 82716-3426

Mailing Address501 S Burma AveGillette, WY 82716-3426 · (307) 688-1415 · Fax (307) 688-1420

Phone(307) 688-1415

Fax(307) 688-1420

Organization SubpartNo

Authorized OfficialWilliam A FitzgeraldExecutive Vice President · (307) 688-1520

Enumeration DateDecember 18, 2006

Last NPPES UpdateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1063575611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WY · 08-183

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 08-183 (WY)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 08-183 (WY)

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 08-183 (WY)

Also ListedHospitalistTaxonomy 208M00000X · License 08-183 (WY)

501 S BURMA AVE, Gillette, WY 82716

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Other Names 1

Doing Business AsCamp County Memorial Hospital - Physician Group

Other Identifiers 1

Medicaid106333201WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camp County Memorial Hospital - Physician Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

300

Medicare enrollment records show 300 clinicians reassign Medicare billing to Camp County Memorial Hospital - Physician Group, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Certified Registered Nurse Anesthetist (CRNA)63

Emergency Medicine54

Diagnostic Radiology32

Nurse Practitioner27

Family Practice21

Anesthesiology19

Internal Medicine16

Psychiatry10

23 other specialties58

Nearest to this location (20)

See all 300

Steven Clements, MD

Internal Medicine

NPI 1639412133

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Christina Coffield, NP

Nurse Practitioner

NPI 1083290340

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Cameron Davis, DO

Internal Medicine

NPI 1396322871

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3535

✔ PECOS✔ Accepts MedicareSame address

Leslie Dowdy, LPC

Mental Health Counselor

NPI 1457619439

501 S BURMA AVE FL 5
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Echo Downey, PMHNP-BC

Nurse Practitioner

NPI 1881296515

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Lauren Dusek, MD

Family Practice

NPI 1649763376

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3636

✔ PECOS✔ Accepts MedicareSame address

Samuel George, MD

Emergency Medicine

NPI 1518616309

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Jonathan Hayden, M. D.

Emergency Medicine

NPI 1841242807

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1415

✔ PECOSSame address

Collin Mccloy, LCSW

Clinical Social Worker

NPI 1093070740

501 S BURMA AVE
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Leslie Mclean, MD

Hospice/Palliative Care

NPI 1396753943

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3052

✔ PECOS✔ Accepts MedicareSame address

David Mohlman, D.O.

Hospitalist

NPI 1477575686

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Byron Peterson

Certified Registered Nurse Anesthetist (CRNA)

NPI 1568716280

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Jessica Ratledge, MD

Anesthesiology

NPI 1912224452

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

William Salmon, MD

Psychiatry

NPI 1972122257

501 S BURMA AVE FL 5
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Nicholas Stamato, MD

Interventional Cardiology

NPI 1801848593

501 S BURMA AVE STE 3500
Gillette, WY 82716

(307) 688-3700

✔ PECOS✔ Accepts MedicareSame address

Attila Barabas, M.D.

Urology

NPI 1285679670

501 S BURMA AVE
Gillette, WY 82716

(307) 688-2665

✔ PECOS✔ Accepts MedicareSame address

Judith Boyle, M.D.

Pediatric Medicine

NPI 1124062310

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Alan Mitchell, MD

Diagnostic Radiology

NPI 1447257720

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1600

✔ PECOSSame address

Thomas Repas, DO

Endocrinology

NPI 1134180516

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3615

✔ PECOS✔ Accepts MedicareSame address

Sairav Shah, M.D.

Cardiovascular Disease (Cardiology)

NPI 1386614113

501 S BURMA AVENUE STE 3500
Gillette, WY 82716

(307) 688-3700

✔ PECOS✔ Accepts MedicareSame address

See all 300 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Campbell County Hospital District's NPI number?

The NPI number for Campbell County Hospital District is 1063575611. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Camp County Memorial Hospital - Physician Group.

Where is Campbell County Hospital District located?

Campbell County Hospital District is located at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-1415.

What is Campbell County Hospital District's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Campbell County Hospital District enrolled in Medicare?

Yes. Campbell County Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Campbell County Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 300 clinicians in 31 Medicare specialties reassign their Medicare billing to Campbell County Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (63), Emergency Medicine (54) and Diagnostic Radiology (32). Of these, 49 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Campbell County Hospital District accept?

Health plans from Blue Cross Blue Shield of Wyoming list Campbell County Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Campbell County Hospital District was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.