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Contact Information

IVINSON MEMORIAL HOSPITAL
255 N 30TH ST
LARAMIE, WY82072-5140
 Phone: 307-742-2142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for IVINSON MEMORIAL HOSPITAL

NPI # 1326340878
LBN Legal business name IVINSON MEMORIAL HOSPITAL
Authorized official JAMES BANDS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2010
Last updated 12/27/2017 - About 8 years ago
Identifiers
Other W4251905 PTAN FOR PART B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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