Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Other names
Camp County Memorial Hospital - Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A FITZGERALD (EXECUTIVE VICE PRESIDENT)
(307) 688-1520
Entity
Organization
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
08-183
WY
207RH0003X
Hematology & Oncology Physician
08-183
WY
2084P0800X
Psychiatry Physician
08-183
WY
2085R0001X
Radiation Oncology Physician
08-183
WY
208M00000X
Hospitalist Physician
08-183
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106333201
—
WY
Enumeration date
12/18/2006
Last updated
12/03/2024
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