Organization
IVINSON MEMORIAL HOSPITAL
Active
Organization
IVINSON MEMORIAL HOSPITAL
Active
Other names
IVINSON MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BANDS (CFO)
(307) 755-4603
Entity
Organization
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5195
(307) 742-2141
(307) 766-9510
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5195
(307) 742-2141
(307) 742-0678
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282NR1301X
Rural Acute Care Hospital
08/186
WY
Other
Enumeration date
12/27/2007
Last updated
04/23/2021
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