# RIVERTON ONCOLOGY PRACTICE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFEPOINT HOSPITALS HOLDINGS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104065200
- **Legal business name:** LIFEPOINT HOSPITALS HOLDINGS
- **Authorized official:** MR. DONALD BIVACCA (PRESIDENT)
- **Authorized official phone:** (307) 856-4688

## Contact information

- **Practice address:** 1035 ROSE LN, STE D, RIVERTON, WY 82501-2286
- **Practice address phone:** (307) 856-4688
- **Practice address fax:** (307) 856-1740
- **Mailing address:** PO BOX 758, POST FALLS, ID 83877-0758
- **Mailing address phone:** (307) 856-4688
- **Mailing address fax:** (307) 856-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 02/12/2009