# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAMPBELL COUNTY HOSPITAL DISTRICT
- **Other names:** The Legacy Living & Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376620989
- **Legal business name:** CAMPBELL COUNTY HOSPITAL DISTRICT
- **Authorized official:** JOHN ADAMS (ADMINISTRATOR)
- **Authorized official phone:** (307) 688-7117

## Contact information

- **Practice address:** 1000 S DOUGLAS HIGHWAY, GILLETTE, WY 82716
- **Practice address phone:** (307) 688-7000
- **Practice address fax:** (307) 688-7101
- **Mailing address:** 1000 S DOUGLAS HIGHWAY, GILLETTE, WY 82716
- **Mailing address phone:** (307) 688-7000
- **Mailing address fax:** (307) 688-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 07065 | WY | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 15143 | WY | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119417800 | — | WY |