# CAMPBELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAMPBELL COUNTY MEMORIAL HEALTH
- **Other names:** Powder River Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780738153
- **Legal business name:** CAMPBELL COUNTY MEMORIAL HEALTH
- **Authorized official:** MICHELLE KIOSCHOS RN (DIRECTOR)
- **Authorized official phone:** (307) 688-8600

## Contact information

- **Practice address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426
- **Practice address phone:** (307) 688-8600
- **Mailing address:** 906 W 6TH ST, SUITE C, GILLETTE, WY 82716-3435
- **Mailing address phone:** (307) 688-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 15210 | WY | Yes |
| 282N00000X | General Acute Care Hospital | 15210 | WY | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 03/06/2017