NPI 1205547742 · live from the CMS NPI Registry
Campbell County Hospital District,
Otolaryngology in Gillette, WY. National Provider Identifier 1205547742, active.
NPI record
| NPI | 1205547742 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Otolaryngology 207Y00000X |
| Practice location | 501 S Burma Ave, Gillette, WY 82716 |
| Practice phone | 307-688-0110 |
| Mailing address | 500 Ross St 154-0455, Po Box 392967, Pittsburgh, PA 15251 |
| Enumerated | December 6, 2022 |
| Last updated | April 3, 2024 |
| Authorized official | Douglas Popp, Cfo |
| Other names | Campbell County Medical Group - Ent Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology primary | 207Y00000X | — |
| Otolaryngology, Otolaryngic Allergy | 207YX0602X | — |
| Audiologist | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.