# MEMORIAL HOSPITAL OF LARAMIE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cheyenne Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285621839
- **Authorized official:** BRAD WHITE (REVENUE CYCLE ADMINISTRATOR)
- **Authorized official phone:** (307) 633-6198

## Contact information

- **Practice address:** 214 E 23RD ST, CHEYENNE, WY 82001-3748
- **Practice address phone:** (307) 634-2273
- **Practice address fax:** (307) 633-3018
- **Mailing address:** 214 E 23RD ST, CHEYENNE, WY 82001-3748
- **Mailing address phone:** (307) 634-2273
- **Mailing address fax:** (307) 633-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 273R00000X | Psychiatric Hospital Unit | 06-201 | WY | — |
| 273Y00000X | Rehabilitation Hospital Unit | 06-201 | WY | — |
| 282N00000X | General Acute Care Hospital | 06-201 | WY | Yes |
| 314000000X | Skilled Nursing Facility | 06-115 | WY | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 09/23/2025