CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP – NPI #1063575611
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP is a provider located in GILLETTE, WY. NPPES has assigned the NPI number 1063575611 to CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP on December 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP” is a dba name, the actual legal business name for this organization is CAMPBELL COUNTY HOSPITAL DISTRICT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP below.

NPI Profile for
CAMPBELL COUNTY HOSPITAL DISTRICT

NPI Number
1063575611
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAMPBELL COUNTY HOSPITAL DISTRICT
Doing Business As (dba): CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP
Primary location
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone: (307) 688-1415 Fax: (307) 688-1420
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM FITZGERALD
EXECUTIVE VICE PRESIDENT
Phone: (307) 688-1520
Updated
Certification Date
Dec 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CAMP COUNTY MEMORIAL HOSPITAL - PHYSICIAN GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWY106333201
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
WY 08-183
208M00000X
- Hospitalist
WY 08-183
2085R0001X
- Radiology / Radiation Oncology
WY 08-183
2084P0800X
- Psychiatry & Neurology / Psychiatry
WY 08-183
207RH0003X
- Internal Medicine / Hematology & Oncology
WY 08-183

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.