Ivinson Memorial Hospital | |
255 N 30th St Laramie WY 82072-5140 | |
(307) 742-2142 | |
Not Available |
Full Name | Ivinson Memorial Hospital |
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Speciality | Clinic/center - Rural Health |
Location | 255 N 30th St, Laramie, Wyoming |
Authorized Official Name and Position | James Bands (CFO) |
Authorized Official Contact | 3077554603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivinson Memorial Hospital 255 N 30th St Laramie WY 82072-5140 Ph: (307) 742-2142 | Ivinson Memorial Hospital 255 N 30th St Laramie WY 82072-5140 Ph: (307) 742-2142 |
NPI Number | 1326340878 |
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Provider Enumeration Date | 12/03/2010 |
Last Update Date | 12/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326340878 | NPI | - | NPPES |
W4251905 | Other | PTAN FOR PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Ivinson Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3116 Willett Dr, Laramie, WY 82072 Phone: 307-742-6319 Fax: 307-742-6346 | |
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Mountain View Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Harney St Ste 100, Laramie, WY 82072 Phone: 307-742-9116 Fax: 307-745-8167 | |
High Performance Sports Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S. 2nd Street, Laramie, WY 82070 Phone: 307-514-4041 | |
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