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General NPI Number Information
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NPI Number | 1124963210
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Entity Type | Organization
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Legal Business Name | CAMPBELL COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 508 STOCKTRAIL AVE STE A
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City | GILLETTE
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State | WY
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Zip | 82716-3582
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Country | US
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Telephone | 307-686-1413
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Fax | 307-682-1113
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Provider Business Mailing Address
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Address Line | 508 STOCKTRAIL AVE STE A
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City | GILLETTE
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State | WY
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Zip | 82716-3582
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Country | US
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Telephone | 307-686-1413
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Fax | 307-682-1113
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS ADAM POPP
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Credential |
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Telephone | 307-688-1523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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