Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Other names
Cheyenne Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (REVENUE CYCLE ADMINISTRATOR)
(307) 633-6198
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
(307) 633-3018
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
(307) 633-3018
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
273R00000X
Psychiatric Hospital Unit
06-201
WY
273Y00000X
Rehabilitation Hospital Unit
06-201
WY
282N00000X
General Acute Care Hospital
Primary
06-201
WY
314000000X
Skilled Nursing Facility
06-115
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107334600
—
WY
05
—
107334602
—
WY
Enumeration date
09/29/2005
Last updated
09/23/2025
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