Organization
LANDER VALLEY MEDICAL CENTER LLC
Active
Parent organization
LANDER VALLEY MEDICAL CENTER LLC
Other names
Lander Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDER VALLEY MEDICAL CENTER LLC
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
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
05/02/2014
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