institution
Ivinson Memorial Hospital
Rural Acute Care Hospital in Laramie, Wyoming
NPI 1336289552

Ivinson Memorial Hospital is a Rural Acute Care Hospital based in Laramie, WY and is specialized in Rural. Ivinson Memorial Hospital practices in Laramie, WY. The NPI Number for Ivinson Memorial Hospital is 1336289552 and holds a License No. 07108 (Wyoming).

The current practice location address for Ivinson Memorial Hospital is 255 N 30Th St, Laramie, WY and can be reached out via phone at 307-742-2142 and via fax at 307-742-0678.

Location: 255 N 30Th St, Laramie, WY, 82072-5140
institution
Provider Profile Details
NPI Number
1336289552
Provider Name
Ivinson Memorial Hospital
Credential
Provider Entity Type
Organization
Address
255 N 30Th St, Laramie, WY, 82072-5140
Phone Number
307-742-2142
Fax Number
307-742-0678
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00710001 01 WY BCBS PROFESSIONAL
107332001 05 WY
107332008 05 WY
836000188 01 WY CHAMPUS
836000188 01 WY UNITED HEALTHCARE
007153 01 WY BCBS - INSTITUTIONAL
107332002 05 WY
836000188 01 WY GREAT WEST - WYOMING
W4251905 01 WY PTAN FOR PART B
107332000 05 WY
107332003 05 WY
95682704 05 CO
institution
Provider Business Practice Location Address Details
Address
255 N 30Th St
City
State
Zip
82072-5140
Phone Number
307-742-2142
Fax Number
307-742-0678
person
Provider Business Mailing Address Details
Address
255 N 30Th St
City
State
Zip
82072-5140
Phone Number
307-742-2142
Fax Number
307-742-0678
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
License No.
07108 (Wyoming)
Definition
Definition to come...
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