# LANDER VALLEY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANDER VALLEY MEDICAL CENTER LLC
- **Other names:** Lander Regional Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932295599
- **Legal business name:** LANDER VALLEY MEDICAL CENTER LLC
- **Authorized official:** DONALD J. BIVACCA (PRESIDENT)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
- **Practice address phone:** (307) 332-4420
- **Practice address fax:** (307) 332-3548
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 05/02/2014