NPI 1184020950 · live from the CMS NPI Registry
Campbell County Clinics Family Practice
Family Medicine in Gillette, WY. National Provider Identifier 1184020950, active.
NPI record
| NPI | 1184020950 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 501 S Burma Ave, Gillette, WY 82716 |
| Practice phone | 307-688-3636 |
| Mailing address | Po Box 3046, Gillette, WY 82717 |
| Enumerated | November 6, 2014 |
| Last updated | November 6, 2014 |
| Authorized official | William Fitzgerald, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.