# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbell County Medical Group - Women's Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578240933
- **Authorized official:** GERARD DENNIS KLEIN (COO)
- **Authorized official phone:** (307) 688-1520

## Contact information

- **Practice address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426
- **Practice address phone:** (307) 688-3636
- **Practice address fax:** (307) 688-7920
- **Mailing address:** PO BOX 392967, PITTSBURGH, PA 15251-9967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2023
- **Last updated:** 06/28/2023