Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Parent organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Other names
The Legacy Living & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Authorized official
JOHN ADAMS (ADMINISTRATOR)
(307) 688-7117
Entity
Organization
Contact information
Practice address
1000 S DOUGLAS HIGHWAY, GILLETTE, WY 82716
(307) 688-7000
(307) 688-7101
Mailing address
1000 S DOUGLAS HIGHWAY, GILLETTE, WY 82716
(307) 688-7000
(307) 688-7101
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
07065
WY
313M00000X
Nursing Facility/Intermediate Care Facility
15143
WY
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119417800
—
WY
Enumeration date
11/01/2006
Last updated
12/11/2024
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