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Organization
LANDER VALLEY MEDICAL CENTER LLC
Active
Organization
LANDER VALLEY MEDICAL CENTER LLC
Active
Other names
Lander Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. BIVACCA (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 332-4420
(307) 332-3548
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
06149
WY
Other
Enumeration date
09/20/2006
Last updated
05/02/2014
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