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NPI 1073976155 · live from the CMS NPI Registry

Campbell County Hospital District

Audiologist in Gillette, WY. National Provider Identifier 1073976155, active.

NPI record

NPI1073976155 Type 2 · organization
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location1405 W 4th St, Gillette, WY 82716
Practice phone307-688-4368
Mailing addressPo Box 3011, Gillette, WY 82717
EnumeratedApril 5, 2016
Last updatedJuly 1, 2025
Authorized officialMatt Shahan, Ceo
Other namesCampbell County Medical Group Audiology

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000XA922 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.