# CAMPBELL COUNTY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1932404084
- **Legal business name:** CAMPBELL COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MR. GERARD A K (COO)
- **Authorized official phone:** (307) 688-1000

## Contact information

- **Practice address:** 501 S BURMA AVE - 3S-URO, GILLETTE, WY 82716-3426
- **Practice address phone:** (307) 688-3636
- **Mailing address:** PO BOX 392967, PITTSBURGH, PA 15251-9967
- **Mailing address phone:** (307) 688-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 05/10/2023