Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Other names
PART
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE (ADMINISTRATOR OF REVENUE)
(307) 633-6198
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7310
(307) 633-7202
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
07/26/2022
Last updated
07/03/2026
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