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Organization

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Active
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Organization

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Active
Other names
Cheyenne Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization

Contact information

Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8012
(307) 633-7676
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 634-2273
(307) 773-8013

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—

Other

Enumeration date
01/03/2017
Last updated
07/03/2026
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