# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbell County Medical Group Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073976155
- **Authorized official:** MATT SHAHAN (CEO)
- **Authorized official phone:** (307) 688-1551

## Contact information

- **Practice address:** 1405 W 4TH ST, GILLETTE, WY 82716-3327
- **Practice address phone:** (307) 688-4368
- **Practice address fax:** (307) 688-7935
- **Mailing address:** PO BOX 3011, GILLETTE, WY 82717-3011
- **Mailing address phone:** (307) 688-1000
- **Mailing address fax:** (307) 685-3079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A922 | WY | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 07/01/2025