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CAMPBELL COUNTY HOSPITAL DISTRICT NPI 1164934121


NPI Information

NPI: 1164934121
Provider Name: CAMPBELL COUNTY HOSPITAL DISTRICT

Doing Business As: CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
501 S BURMA AVE
GILLETTE, WY
ZIP 82716
Phone: (307) 688-3636
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CAMPBELL COUNTY HOSPITAL DISTRICT is a geriatric medicine internal medicine in Gillette, WY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CAMPBELL COUNTY HOSPITAL DISTRICT NPI is 1164934121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Campbell County Medical Group - Geriatric Clinic.

The provider's business location address is:

501 S BURMA AVE
GILLETTE, WY
ZIP 82716-426
Phone: (307) 688-3636

The provider's authorized official is Douglas Adam Popp .
The authorized official title is Chief Financial Officer and has the following contact phone number (307) 688-1523.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 4/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QH0002XFamily MedicineHospice and Palliative MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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