IVINSON MEMORIAL HOSPITAL


Address: 255 N 30th St, Laramie, WY 82072-5140
Phone: 3077422142

IVINSON MEMORIAL HOSPITAL (NPI# 1336289552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336289552
Entity Type Organization
Organization Name IVINSON MEMORIAL HOSPITAL
Practice Address 255 N 30th St
Laramie
WY 82072-5140
Practice Telephone 3077422142
Practice Fax Number 3077420678
Mailing Telephone 3077422142
Mailing Fax Number 3077420678
Enumeration Date 2007-02-07
Last Update Date 2017-12-27
Authorized Official Name JAMES BANDS (CFO)
Authorized Official Telephone 3077554603
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NR1301X General Acute Care Hospital
Specialization: Rural
07108 WY Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
WY 107332000 05
WY 107332002 05
WY 107332003 05
WY GREAT WEST - WYOMING 836000188 01
WY UNITED HEALTHCARE 836000188 01
WY BCBS PROFESSIONAL 00710001 01
WY 107332001 05
WY 107332008 05
CO 95682704 05
WY PTAN FOR PART B W4251905 01
WY BCBS - INSTITUTIONAL 007153 01
WY CHAMPUS 836000188 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033628599 Ivinson Memorial Hospital Clinic/Center 3116 Willett Dr, Laramie, WY 82072-5048 2017-09-27
1326340878 Ivinson Memorial Hospital Clinic/Center 255 N 30th St, Laramie, WY 82072-5140 2010-12-03
1528236247 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5140 2008-02-15
1528242435 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1952585861 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1205010113 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1366626269 Ivinson Memorial Hospital General Acute Care Hospital 255 N. 30th St, Laramie, WY 82072-5195 2007-12-27
1265616171 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1912181827 Ivinson Memorial Hospital General Acute Care Hospital 255 N. 30th St, Laramie, WY 82072-5195 2007-12-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities IVINSON MEMORIAL HOSPITAL 255 N 30th St, Laramie, WY 82072-5140

Office Location

Street Address 255 N 30TH ST
City LARAMIE
State WY
Zip Code 82072-5140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679553986 Tonja Marie Woods Pharmacist 255 N 30th St, Laramie, WY 82072-5140 2006-01-20
1699300525 Sarah Kiana Haynes Dietitian, Registered 255 N 30th St, Laramie, WY 82072-5195 2020-03-11
1992336168 Poudre Valley Medical Group, LLC Internal Medicine 255 N 30th St, Laramie, WY 82072-5140 2020-01-28
1962062638 Thomas Richard Harold Witkop Nurse Practitioner 255 N 30th St, Laramie, WY 82072-5140 2019-06-16
1225598097 Adrianne Kate Griebel Dietitian, Registered 255 N 30th St, Laramie, WY 82072-5140 2019-03-20
1467920512 Elizabeth Morissette Rowe Advanced Practice Midwife 255 N 30th St, Laramie, WY 82072-5140 2018-11-07
1477049039 Samuel Brauninger Nurse Anesthetist, Certified Registered 255 N 30th St, Laramie, WY 82072-5140 2018-07-07
1376042960 Candace Mae Burch Nurse Practitioner 255 N 30th St, Laramie, WY 82072-5140 2018-02-08
1639698608 Jason Lee Sondgeroth Nurse Practitioner 255 N 30th St, Laramie, WY 82072-5140 2017-09-11
1356722003 Nathan Valencia Still Internal Medicine 255 N 30th St, Laramie, WY 82072 2015-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629688924 Colby Wolf 16th & Gibbon, Department 3414, Laramie, WY 82072 2020-08-03
1871947341 Curran Quast Case Manager/Care Coordinator 1465 N 4th St Ste 111, Laramie, WY 82072 2016-04-20
1184030827 David Hokanson Dentist 352 N. 4th Street, Laramie, WY 82072 2014-07-02
1356673297 Aaron Lozano Counselor 1465 N. 4th Street #119, Laramie, WY 82072 2010-02-03
1407181092 Maureen K. Johnson Inc In Home Supportive Care 2010 Reynolds H280, Laramie, WY 82072 2009-10-15
1316120991 Nephrology Clinic PC Clinic/Center 3116 Willet Dr, Laramie, WY 82072 2007-12-06
1851410682 Laramie Reproductive Health Public Health or Welfare 1252 N 22nd St Suite A, Laramie, WY 82072 2007-03-29
1942345327 Fike Chiropractic Pain Relief Chiropractor 1267 N 15th St, Suite 123b, Laramie, WY 82072 2007-02-21
1336215441 Laramie Pediatrics Internal Medicine Internal Medicine 1252 North 22nd St, Ste B, Laramie, WY 82072 2006-11-28
1407939218 Ark Regional Services, Inc Occupational Therapist 1150 N 3rd Street, Laramie, WY 82072 2006-10-23
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Taxonomy Information

Taxonomy Code 282NR1301X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Rural

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528236247 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5140 2008-02-15
1528242435 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1952585861 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1205010113 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1366626269 Ivinson Memorial Hospital General Acute Care Hospital 255 N. 30th St, Laramie, WY 82072-5195 2007-12-27
1265616171 Ivinson Memorial Hospital General Acute Care Hospital 255 N 30th St, Laramie, WY 82072-5195 2007-12-27
1912181827 Ivinson Memorial Hospital General Acute Care Hospital 255 N. 30th St, Laramie, WY 82072-5195 2007-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710081260 South Lincoln Hospital District General Acute Care Hospital 711 Onyx Street, Kemmerer, WY 83101-3214 2006-09-12
1912266008 North Big Horn Hospital Pharmacy General Acute Care Hospital 1115 Lane 12, Lovell, WY 82431 2012-05-09
1396842308 Lander Valley Medical Center LLC General Acute Care Hospital 1320 Bishop Randall Dr, Lander, WY 82520-3939 2006-09-20
1245337286 Riverton Memorial Hospital LLC General Acute Care Hospital 2100 W Sunset Dr, Riverton, WY 82501-2274 2006-09-20
1497753115 Powell Valley Health Care Inc General Acute Care Hospital 777 Avenue H, Powell, WY 82435 2005-07-08

Competitor

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City LARAMIE
Zip Code 82072

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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