IVINSON MEMORIAL HOSPITAL (NPI# 1528242435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528242435 |
| Entity Type | Organization |
| Organization Name | IVINSON MEMORIAL HOSPITAL |
| Other Organization Name | IVINSON MEMORIAL HOSPITAL |
| Practice Address |
255 N 30th St Laramie WY 82072-5195 |
| Practice Telephone | 3077422141 |
| Practice Fax Number | 3077420678 |
| Mailing Telephone | 3077422141 |
| Mailing Fax Number | 3077669510 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | JAMES BANDS (CFO) |
| Authorized Official Telephone | 3077554603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
08-186 | WY | Hospitals |
| Other Name | Type Code |
|---|---|
| IVINSON MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033628599 | Ivinson Memorial Hospital | Clinic/Center | 3116 Willett Dr, Laramie, WY 82072-5048 | 2017-09-27 |
| 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 |
| 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 |
255 N 30TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072-5195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553986 | Tonja Marie Woods | Pharmacist | 255 N 30th St, Laramie, WY 82072-5140 | 2006-01-20 |
| 1699300525 | Sarah Kiana Haynes | Dietitian, Registered | 255 N 30th St, Laramie, WY 82072-5195 | 2020-03-11 |
| 1992336168 | Poudre Valley Medical Group, LLC | Internal Medicine | 255 N 30th St, Laramie, WY 82072-5140 | 2020-01-28 |
| 1962062638 | Thomas Richard Harold Witkop | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2019-06-16 |
| 1225598097 | Adrianne Kate Griebel | Dietitian, Registered | 255 N 30th St, Laramie, WY 82072-5140 | 2019-03-20 |
| 1467920512 | Elizabeth Morissette Rowe | Advanced Practice Midwife | 255 N 30th St, Laramie, WY 82072-5140 | 2018-11-07 |
| 1477049039 | Samuel Brauninger | Nurse Anesthetist, Certified Registered | 255 N 30th St, Laramie, WY 82072-5140 | 2018-07-07 |
| 1376042960 | Candace Mae Burch | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2018-02-08 |
| 1639698608 | Jason Lee Sondgeroth | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2017-09-11 |
| 1356722003 | Nathan Valencia Still | Internal Medicine | 255 N 30th St, Laramie, WY 82072 | 2015-06-17 |
| Find all providers in the same location | ||||
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528236247 | Ivinson Memorial Hospital | General Acute Care Hospital | 255 N 30th St, Laramie, WY 82072-5140 | 2008-02-15 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710081260 | South Lincoln Hospital District | General Acute Care Hospital | 711 Onyx Street, Kemmerer, WY 83101-3214 | 2006-09-12 |
| 1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
| 1396842308 | Lander Valley Medical Center LLC | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-09-20 |
| 1245337286 | Riverton Memorial Hospital LLC | General Acute Care Hospital | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2006-09-20 |
| 1497753115 | Powell Valley Health Care Inc | General Acute Care Hospital | 777 Avenue H, Powell, WY 82435 | 2005-07-08 |
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| 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.