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Contact Information

CAMPBELL COUNTY HOSPITAL DISTRICT
501 S BURMA AVE
GILLETTE, WY82716-3426
 Phone: 307-688-1415
 Fax: 307-688-1420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CAMPBELL COUNTY HOSPITAL DISTRICT

NPI Number 1063575611
LBN Legal business name CAMPBELL COUNTY HOSPITAL DISTRICT
Authorized official WILLIAM FITZGERALD - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 12/03/2024 - More than a year ago
Identifiers
WY License # 08-183
WY Medicaid 106333201
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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