CAMPBELL COUNTY HOSPITAL DISTRICT NPI 1780738153

NPI Information

NPI: 1780738153
Provider Name: CAMPBELL COUNTY HOSPITAL DISTRICT

Doing Business As: POWDER RIVER SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
501 S BURMA AVE
GILLETTE, WY
ZIP 82716
Phone: (307) 688-8600
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CAMPBELL COUNTY HOSPITAL DISTRICT is an ambulatory surgical clinic center in Gillette, WY. CAMPBELL COUNTY HOSPITAL DISTRICT NPI is 1780738153. The provider is registered as an organization entity type.
The provider Is Doing Business As Powder River Surgery Center.

The provider's business location address is:

501 S BURMA AVE
GILLETTE, WY
ZIP 82716-426
Phone: (307) 688-8600

The provider's authorized official is Michelle Kioschos .
The authorized official title is Director and has the following contact phone number (307) 688-8600.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/6/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		15210	WYOMING	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	15210	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	53-0002	MEDICARE PIN	WYOMING

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: 11/14/2023

NPI Synchronization or Removal

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