# IVINSON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IVINSON MEMORIAL HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528236247
- **Authorized official:** JAMES BANDS (CFO)
- **Authorized official phone:** (307) 755-4603

## Contact information

- **Practice address:** 255 N 30TH ST, LARAMIE, WY 82072-5140
- **Practice address phone:** (307) 766-9525
- **Practice address fax:** (307) 766-9510
- **Mailing address:** 255 N 30TH ST, LARAMIE, WY 82072-5140
- **Mailing address phone:** (307) 742-2142
- **Mailing address fax:** (307) 766-9510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 7108 | WY | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 12/27/2017