# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAMPBELL COUNTY MEMORIAL HOSPITAL
- **Other names:** CCMH OBGYN Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740463520
- **Legal business name:** CAMPBELL COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MRS. KAREN LOUISE MARSHALL (OFFICE MANAGER)
- **Authorized official phone:** (307) 686-3855

## Contact information

- **Practice address:** 1414 W 4TH ST, GILLETTE, WY 82716-3328
- **Practice address phone:** (307) 686-3855
- **Practice address fax:** (307) 686-8190
- **Mailing address:** 1414 W 4TH ST, GILLETTE, WY 82716-3328
- **Mailing address phone:** (307) 686-3855
- **Mailing address fax:** (307) 686-8190

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 06213001 | BCBS OF WY | WY |