CCN: 531519 NPI: 1851472955 Organization

Hospice of Campbell County Memorial Hospital

300 SOUTH BURMA AVENUE
GILLETTE, WY 82716

Contact Information

Phone 3076886230
Fax 3076886210
Enumeration Date 2006-10-17
Last Updated 2018-06-07

Taxonomies

Code: 251G00000X (Primary) License State: WY License: 07034

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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providerType 35

censusDivision 6

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providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99953

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99953

providerType 35

specialPaymentIndicator

carrierCode 03602

localityCode 21