# CAMPBELL COUNTY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1790101947
- **Authorized official:** DOUGLAS A POPP (CFO)
- **Authorized official phone:** (307) 688-1523

## Contact information

- **Practice address:** 702 S KENDRICK AVE, GILLETTE, WY 82716-4349
- **Practice address phone:** (307) 688-8700
- **Mailing address:** 501 S BURMA AVE, GILLETTE, WY 82716-3426
- **Mailing address phone:** (307) 688-1000
- **Mailing address fax:** (307) 688-1420

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 04/15/2024