Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA POLONCIC (PATIENT ACCOUNTING MANAGER)
(307) 688-1415
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
273R00000X
Psychiatric Hospital Unit
Primary
06-210
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106333200
—
WY
Enumeration date
05/17/2006
Last updated
04/23/2014
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