IVINSON MEMORIAL HOSPITAL (NPI# 1033628599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033628599 |
| Entity Type | Organization |
| Organization Name | IVINSON MEMORIAL HOSPITAL |
| Practice Address |
3116 Willett Dr Laramie WY 82072-5048 |
| Mailing Address |
255 N 30th St Laramie WY 82072-5140 |
| Practice Telephone | 3077426319 |
| Practice Fax Number | 3077426346 |
| Mailing Telephone | 3077422142 |
| Mailing Fax Number | 3077422150 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JAMES BANDS (CFO) |
| Authorized Official Telephone | 3077554603 |
| Is Organization Subpart | Y |
| Parent Organization Name | IVINSON MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 N 30th St, Laramie, WY 820725140 | (307) 742-2142 | 3077422150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326340878 | Ivinson Memorial Hospital | Clinic/Center | 255 N 30th St, Laramie, WY 82072-5140 | 2010-12-03 |
| 1528236247 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2008-02-15 |
| 1528242435 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1952585861 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1205010113 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1366626269 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1265616171 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1912181827 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N. 30th St, Laramie, WY 82072-5195 | 2007-12-27 |
| 1336289552 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2007-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IVINSON MEMORIAL HOSPITAL | 255 N 30th St, Laramie, WY 82072-5140 |
| Street Address |
3116 WILLETT DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831101609 | Kenneth L Robertson | Internal Medicine | 3116 Willett Dr, Laramie, WY 82072 | 2006-08-12 |
| 1174138705 | Poudre Valley Medical Group, LLC | Surgery | 3116 Willett Dr, Laramie, WY 82072-5048 | 2020-09-10 |
| 1497368617 | Poudre Valley Medical Group, LLC | Internal Medicine | 3116 Willett Dr, Laramie, WY 82072-5048 | 2020-08-27 |
| 1558983577 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 3116 Willett Dr, Laramie, WY 82072-5048 | 2020-05-13 |
| 1205456035 | Poudre Valley Medical Group, LLC | Internal Medicine | 3116 Willett Dr, Laramie, WY 82072-5048 | 2020-04-22 |
| 1922441328 | Emma Marie Bjore | Family Medicine | 3116 Willett Dr, Laramie, WY 82072-5048 | 2013-04-16 |
| 1821329319 | Metwest Inc | Clinical Medical Laboratory | 3116 Willett Dr, Laramie, WY 82072-5048 | 2010-01-22 |
| 1881720514 | Intermountain Internal Medicine PC | Internal Medicine | 3116 Willett Dr, Laramie, WY 82072-5048 | 2007-02-26 |
| 1194812578 | Rebecca C Carron | Nurse Practitioner | 3116 Willett Dr, Laramie, WY 82072 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| Find all providers in zip 82072 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326340878 | Ivinson Memorial Hospital | Clinic/Center | 255 N 30th St, Laramie, WY 82072-5140 | 2010-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084160 | Platte County Memorial Hospital | Clinic/Center | 1 E. Whalen St., Guernsey, WY 82214 | 2017-03-14 |
| 1477789790 | Bartholomew Family Medicine, PC | Clinic/Center | 1208 S. River St, Saratoga, WY 82331-0648 | 2009-06-01 |
| 1659537694 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 717 Pine Street, Upton, WY 82730 | 2008-07-30 |
| 1831242759 | Platte Valley Medical Clinic PC | Clinic/Center | 1208 South River Street, Saratoga, WY 82331 | 2007-01-22 |
| 1487756102 | Medicine Bow Health Center, Inc. | Clinic/Center | 514 Idaho Dr, Medicine Bow, WY 82329-0037 | 2006-09-02 |
| 1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1750311072 | Lusk Medical Clinic | Clinic/Center | 119 West 3rd Street, Lusk, WY 82225 | 2006-07-03 |
| 1184611089 | Noyes Health Care Center Inc | Clinic/Center | 305 Whippoorwill St, Pob 307, Baggs, WY 82321-0307 | 2005-10-05 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IVINSON MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.