# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAMPBELL COUNTY HOSPITAL DISTRICT
- **Other names:** Campbell County Medical Group-Anesthesiology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417461914
- **Legal business name:** CAMPBELL COUNTY HOSPITAL DISTRICT
- **Authorized official:** DALTON HUBER (CFO)
- **Authorized official phone:** (307) 688-1523

## Contact information

- **Practice address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426
- **Practice address phone:** (307) 688-1000
- **Mailing address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2017
- **Last updated:** 03/17/2018