Camp County Mem Hospital - Physician Group

LBN: Camp County Mem Hospital - Physician Group
Camp County Mem Hospital - Physician Group is an health care organization with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Camp County Mem Hospital - Physician Group can be contacted via phone (307) 688-1415, or through Fitzgerald, William A via phone (307) 688-1520.

Contact Information

Primary practice address
501 S Burma Ave Gillette WY 82716-3426
Phone: (307) 688-1415
Fax: (307) 688-1420
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, William A
Phone: (307) 688-1520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 08-183 Wyoming
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 08-183 Wyoming
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 08-183 Wyoming
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 08-183 Wyoming
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 08-183 Wyoming

Profile Details

NPI number 1063575611
LBN Legal business name Camp County Mem Hospital - Physician Group
DBA Doing business as
Authorized official Fitzgerald, William A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063575611 NPPES
Wyoming MEDICAID 106333201

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