Organization Active NPI

Riverton Memorial Hospital LLC

Doing business as SageWest Health Care

  • Rural Acute Care Hospital
  • Lander, WY
National Provider Identifier
1245337286
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
05209 Issued in WY
Legal business name
RIVERTON MEMORIAL HOSPITAL LLC
Doing business as
SageWest Health Care
Practice address
1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone
(307) 332-4420
NPI assigned
Sep 20, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnetta Traylor
Title
Dir License and Certification
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 05209 WY Primary

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 names 1

  • SageWest Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sagwest@yourcarecommunity.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080826000215 WY Part A Provider - Hospital 1850201013 Practice locations: Lander, WY; Riverton, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245337286. Details of each certification follow.

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
LLCProprietary
Incorporated
Nov 9, 1998 in DE
Enrollment address
1320 Bishop Randall Dr
Lander, WY 82520-3939
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Sagewest Health CareCCN 530008 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D0519923Riverton Memorial Hospital, LLC1320 Bishop Randall Drive, Lander, WY 82520AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Interoperability endpoints

  • Direct secure messaging: sagwest@yourcarecommunity.org

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Dec 23, 2021 100%
Operational/Managerial Control Dec 23, 2021 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVP, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President, Tax Jan 21, 2022
Knight Healthcare New-B, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 23, 2021 100%
Knight Health II, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 97

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

Affiliated clinicians 236

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 236

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1245337286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742744",
            "fax_number": "502-212-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BISHOP RANDALL DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203939",
            "telephone_number": "307-332-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012274",
            "country_code": "US",
            "telephone_number": "307-856-4161",
            "fax_number": "307-857-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERTON MEMORIAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "DIR LICENSE AND CERTIFICATION",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WY",
            "license": "05209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sagwest@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "2100 W Sunset Dr",
            "city": "Riverton",
            "state": "WY",
            "country_code": "US",
            "postal_code": "825012274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SageWest Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SageWest Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.