Organization
LANDER VALLEY MEDICAL CENTER LLC
Active
Parent organization
LIFE POINT HOSPITAL
Other names
Lander Valley Medical Center Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE POINT HOSPITAL
Authorized official
MICHAEL B CLARK (DIVISION PRESIDENT)
(615) 565-1590
Entity
Organization
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 335-6509
Mailing address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115864300
—
WY
Enumeration date
03/16/2007
Last updated
01/05/2010
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