Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Other names
CCMG Hulett Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU TATE (CFO)
(307) 688-1523
Entity
Organization
Contact information
Practice address
131 RED DEVIL DRIVE, HULETT, WY 82720
(307) 688-2235
(307) 688-2340
Mailing address
500 ROSS STREET 154-0455/ PO BOX 392967, PITTSBURGH, PA 15251-9967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
03/28/2025
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