LANDER VALLEY MEDICAL CENTER LLC (NPI# 1952497596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952497596 |
| Entity Type | Organization |
| Organization Name | LANDER VALLEY MEDICAL CENTER LLC |
| Other Organization Name | LANDER REGIONAL HOSPITAL |
| Practice Address |
1320 Bishop Randall Dr Lander WY 82520-3939 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 3076654420 |
| Practice Fax Number | 3073323548 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DONALD J. BIVACCA (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LANDER VALLEY MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Lander Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194849331 | Lander Valley Medical Center LLC | Internal Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-03-16 |
| 1538207584 | Lander Valley Medical Center LLC | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-02-02 |
| 1942396585 | Lander Valley Medical Center LLC | Medicare Defined Swing Bed Unit | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-04 |
| 1932295599 | Lander Valley Medical Center LLC | Rehabilitation Unit | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-04 |
| 1396842308 | Lander Valley Medical Center LLC | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-09-20 |
| Street Address |
1320 BISHOP RANDALL DR |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006533 | Gregory Paul Clifford | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2005-10-10 |
| 1730481557 | Mark Downing Woodard M.d. P.C. | Pathology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2010-11-30 |
| 1831342799 | Edwin Eugene Butler | Radiology | 1320 Bishop Randall Dr, Department of Radiology, Lander, WY 82520-3939 | 2008-10-23 |
| 1669654786 | Lander Regional Hospital | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-11-30 |
| 1457548711 | Lander Valley Ambulatory Surgery Center LLC | Clinic/Center | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-10-01 |
| 1982725727 | Mark Downing Woodard | Pathology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-04-02 |
| 1194849331 | Lander Valley Medical Center LLC | Internal Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-03-16 |
| 1851439681 | Gregory P Clifford Md PC | Personal Emergency Response Attendant | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-02-02 |
| 1538207584 | Lander Valley Medical Center LLC | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-02-02 |
| 1588720544 | Todd Gunnar Holmes | Physical Medicine & Rehabilitation | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174941520 | Riverton Memorial Hospital, LLC | Psychiatric Unit | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-04-02 |
| 1578515235 | Campbell County Hospital District | Psychiatric Unit | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-05-17 |
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| 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.