Organization
LANDER VALLEY MEDICAL CENTER LLC
Active
Other names
Lander Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. BIVACCA (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 332-4420
(307) 332-3548
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
06149
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00371001
BCBS PROFESSIONAL FEES
WY
01
—
041434
BCBS
WY
05
—
115864300
—
WY
05
—
115864303
—
WY
05
—
115864304
—
WY
05
—
115864305
—
WY
Enumeration date
09/20/2006
Last updated
05/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us