Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Parent organization
CAMPBELL COUNTY MEMORIAL HEALTH
Other names
Powder River Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMPBELL COUNTY MEMORIAL HEALTH
Authorized official
MICHELLE KIOSCHOS RN (DIRECTOR)
(307) 688-8600
Entity
Organization
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-8600
Mailing address
906 W 6TH ST, SUITE C, GILLETTE, WY 82716-3435
(307) 688-8600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15210
WY
282N00000X
General Acute Care Hospital
15210
WY
Other
Enumeration date
01/23/2007
Last updated
03/06/2017
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