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Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Parent organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Other names
Community Home Care a service of Cheyenne Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Authorized official
JOHN LUCAS (CHIEF EXECUTIVE OFFICER)
(307) 634-2273
Entity
Organization
Contact information
Practice address
627 ALBANY AVE, TORRINGTON, WY 82240-1530
(307) 532-4180
Mailing address
627 ALBANY AVE, TORRINGTON, WY 82240-1530
(307) 532-4180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
07-218
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107334603
—
WY
05
—
120485800
—
WY
05
—
120485801
—
WY
Enumeration date
01/26/2007
Last updated
07/20/2012
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