Organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Active
Parent organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Other names
PART
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Authorized official
ERIN PETERSEN (PROVIDER ENROLLMENT SPECIALIST)
(307) 432-3664
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
09/04/2025
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