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General NPI Number Information
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NPI Number | 1376620989
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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 | 11/01/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1000 S DOUGLAS HIGHWAY
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City | GILLETTE
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State | WY
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Zip | 82716
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Country | US
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Telephone | 307-688-7000
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Fax | 307-688-7101
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Provider Business Mailing Address
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Address Line | 1000 S DOUGLAS HIGHWAY
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City | GILLETTE
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State | WY
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Zip | 82716
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Country | US
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Telephone | 307-688-7000
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Fax | 307-688-7101
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHN ADAMS
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Credential |
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Telephone | 307-688-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 07065
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 15143
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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