Riverton Memorial Hospital LLC
Organization Active NPI Rural Acute Care Hospital · Lander, WY
NPI 1245337286 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1245337286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 05209 (WY)
- Legal business name
- RIVERTON MEMORIAL HOSPITAL LLC
- Practice address
- 1320 Bishop Randall Dr
Lander, WY 82520-3939 - Phone
- (307) 332-4420
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Johnetta Traylor
- Title
- Dir License and Certification
- Phone
- (502) 596-6063
Facilities with the same owner 97
Practitioners 23
-
Todd Michael Bainter, D.O.
-
Paul James Ebbert, M.D.
-
Michael R Fisher, MD
-
Eric C Hansen, MD
-
Gentian Ann Scheer, M.D.
-
Katherine Garnett, M.D.
-
Matthew T Graf, M.D.
-
Laleisha Monique Knapple, M.D.
-
Sarah E Maze, MD
-
Naveed Qasim, DO
-
James Heng Rao, MD
Affiliated clinicians 236
-
Kyle Leslie Anderson, FNP-C
-
Luis A Armstrong, M.D.
-
Mark Thomas Babcock, D.O.
-
Todd Michael Bainter, D.O.
-
Jordan Nichole Belser, APRN
-
Grant Wilson Berry, M.D.
-
Thomas A Bienz, MD
-
Tara Blumenshine, APRN, CNM FNP
-
Marie Beth Bohrer, APRN
-
Wade Travis Bomengen, M.D.
-
Edwin Eugene Butler, M.D.
-
Edward Callaghan, M.D.
-
Robert A Campbell, M.D.
-
Kristine Marie Cardinal, FNP-C
-
Mark Scott Cardinal, M.D.
-
Gregory Paul Clifford, M.D.
Medicare Care Compare: Hospital
- Listed as
- Sagewest Health Care
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D0519923 | Riverton Memorial Hospital, LLC | Accreditation | Jan 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Hospital certification: CCN 530008
- Legal name
- RIVERTON MEMORIAL HOSPITAL LLC
- Doing business as
- SAGEWEST HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 5, 2016
- Beds
- 146
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jan 1, 1999 (1 total)
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 9, 1998 in DE
- Enrollment address
- 1320 Bishop Randall Dr
Lander, WY 82520-3939 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC |
5% Or Greater Direct Ownership Interest | Dec 23, 2021 | 100% |
| Operational/Managerial Control | Dec 23, 2021 | 100% | |
| Jacquelyn Joy Davis |
Contracted Managing Employee |
Dec 16, 2023 | |
| Scott Graeser |
Corporate Officer |
Aug 19, 2022 | |
| Dana M Rock |
Corporate Officer |
Dec 9, 2024 | |
| Johnetta M Traylor |
Corporate Officer |
Dec 9, 2024 | |
| Knight Health Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean |
Corporate Officer |
Jan 21, 2022 | |
| Knight Healthcare New-B, LLC |
5% Or Greater Direct Ownership Interest | Dec 23, 2021 | 100% |
| Knight Health II, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080826000215 | WY | Part a Provider - Hospital | 1850201013 | Practice locations: Lander, WY; Riverton, WY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 05209 | WY | Yes |
Addresses
Primary practice location
1320 Bishop Randall Dr
Lander, WY 82520-3939
Mailing address
PO Box 742744
Atlanta, GA 30374-2744
Other practice location 1
2100 W Sunset Dr
Riverton, WY 82501-2274
Phone (307) 856-4161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00729001 | Other | WY | BCBS PROFESSIONAL FEES |
| 114198800 | Medicaid | WY | |
| 007088 | Other | WY | BCBS INPATIENT/OUTPATIENT |
| 114198801 | Medicaid | WY |
Other names
- SageWest Health Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sagwest@yourcarecommunity.org |
Other providers in Lander, WY
- Gina M Reed
- Carolyn Marie Renner
- Frankie Rinker
- Rise Medical Practice, LLC
- Debra Rivera
- Erin Nicole Robinson
- Scott Robinson
- David Wayne Rodgers
- Jennifer Rae Rodgers
- Dawn Rogers
All providers in Lander, WY · Rural Acute Care Hospital in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.