Ivinson Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Laramie, WY
NPI 1033628599 · NPPES record last updated Dec 26, 2025
Key facts
- NPI
- 1033628599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- IVINSON MEMORIAL HOSPITAL
- Practice address
- 3116 Willett Dr
Laramie, WY 82072-5048 - Phone
- (307) 742-6319
- Fax
- (307) 742-6346
- NPI assigned
- Sep 27, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- IVINSON MEMORIAL HOSPITAL
Authorized official
- Name
- James Bands
- Title
- Cfo
- Phone
- (307) 755-4603
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Practitioners 176
-
Molly Adami, DNP, FNP-C
-
Taylor N Baskin, PA-C
-
Emma Marie Bjore, M.D.
-
Candace Mae Burch, FNP
-
Julie Ann Carlson, M.D.
-
Marten A Carlson, MD
-
Morgan Lee Corrington, FNP-BC
-
Robyn Dawn Curtis-Rice, APRN, FNP-C
-
Kimberly Denningmann, PMHNP-BC
-
Jesse Henry, FNP
-
Bailey Johnson, M.D.
-
Alexandra Kivari, PA
-
Jaycee Lyn Kline, MD
-
Susan M McLaughlin, FNP
-
Lauren Carroll Munsell, DNP, FNP-C
-
Lars E Peterson, MD
-
Harold L. Pierce, MD
-
Beth Janine Romsa, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ivinson Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Ivinson Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Ivinson Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171213002021 | WY | Part B Supplier - Clinic/Group Practice | 8325304447 |
Receives reassigned benefits from 167 practitioners Practice locations: Laramie, WY |
National Provider Directory
- Part of
- Ivinson Memorial Hospital
Locations
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
201 14th St
Ste B
Wheatland, WY 82201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
3116 Willett Dr
Laramie, WY 82072-5048
Mailing address
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142
Other practice location 1
255 N 30th St
Laramie, WY 82072-5140
Phone (307) 742-2142
Other providers in Laramie, WY
- Intermountain Internal Medicine PC
- Intrawest Medical Services, P.C
- Shantel Irene
- Torrie Irene
- Matti Irvine
- Ivinson Memorial Hospital
- Ivinson Memorial Hospital
- Ivinson Memorial Hospital
- Ivinson Memorial Hospital
- Ivinson Memorial Hospital
All providers in Laramie, WY · Rural Health Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.