Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Parent organization
CAMPBELL COUNTY MEMORIAL HOSPITAL
Other names
CCMH Urology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMPBELL COUNTY MEMORIAL HOSPITAL
Authorized official
MR. GERARD A K (COO)
(307) 688-1000
Entity
Organization
Contact information
Practice address
501 S BURMA AVE - 3S-URO, GILLETTE, WY 82716-3426
(307) 688-3636
Mailing address
PO BOX 392967, PITTSBURGH, PA 15251-9967
(307) 688-3636
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
05/10/2023
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