# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbell County Clinic - Pediatrics Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285146241
- **Authorized official:** DALTON HUBER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (307) 688-1523

## Contact information

- **Practice address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426
- **Practice address phone:** (307) 688-3636
- **Mailing address:** PO BOX 3046, GILLETTE, WY 82717-3046
- **Mailing address phone:** (307) 688-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2017
- **Last updated:** 10/31/2017