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Organization

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Active
Parent organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Other names
Cheyenne Regional Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Authorized official
MICHELE GAUTREAU (CREDENTIALING SPECIALIST)
(307) 773-8012
Entity
Organization

Contact information

Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8012
(307) 633-7676
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 773-8012
(307) 633-7676

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
207RG0100X
Gastroenterology Physician
208000000X
Pediatrics Physician
208D00000X
General Practice Physician
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
01/03/2017
Last updated
07/21/2022
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