NPIMap

Organization Active NPI

Memorial Hospital of Laramie County

Doing business as Cheyenne Regional Medical Center

  • General Acute Care Hospital
  • Cheyenne, WY
National Provider Identifier
1285621839
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06-201 Issued in WY
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
Cheyenne Regional Medical Center
Practice address
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone
(307) 634-2273
Fax
(307) 633-3018
NPI assigned
Sep 29, 2005
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Brad White
Title
Revenue Cycle Administrator
Phone
(307) 633-6198

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric Hospital Unit 273R00000X 06-201 WY
Rehabilitation Hospital Unit 273Y00000X 06-201 WY
General Acute Care Hospital 282N00000X 06-201 WY Primary
Skilled Nursing Facility 314000000X 06-115 WY

Addresses

Primary practice location

214 E 23Rd St
Cheyenne, WY 82001-3748

Mailing address

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

Other identifiers 2

IdentifierTypeStateIssuer
107334600MedicaidWY
107334602MedicaidWY

Other names 1

  • Cheyenne Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040423001172 WY Part B Supplier - Clinic/Group Practice 1557357555 Receives reassigned benefits from 82 practitioners
Practice locations: Cheyenne, WY
O20070508000746 WY Part A Provider - Hospital 1557357555 Practice locations: Cheyenne, WY
O20120426000438 WY Part A Provider - Hospital 1557357555 Practice locations: Cheyenne, WY
O20120426000626 WY Part A Provider - Hospital 1557357555 Practice locations: Cheyenne, WY

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1285621839. Details of each certification follow.

Hospital certification: CCN 530014

Legal name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
CHEYENNE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 15, 2013
Beds
201
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Enrollment address
214 E 23Rd St
Cheyenne, WY 82001-3748
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 53T014

Legal name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
CHEYENNE REGIONAL MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
2600 E 18TH St
Cheyenne, WY 82001-5511
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Hospital certification: CCN 53S014

Legal name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Doing business as
CHEYENNE REGIONAL MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
2600 E 18TH St
Cheyenne, WY 82001-5511
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Hospital certification: CCN 530001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DEPAUL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Nov 1, 1992
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 1992
Beds
121
Ownership / control type
Private (not for profit)
Facility address
2600 E 18TH St
Cheyenne, WY 82001

Hospital certification: CCN 533026

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPALDING REHABILITATION HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jul 1, 1999
Provider type (POS)
Hospital – Rehabilitation
Participating since
Nov 1, 1990
Last certification
Dec 2, 1993
Beds
15
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 31, 1995 (1 total)
Facility address
2600 East 18TH Street
Cheyenne, WY 82001

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Cheyenne Regional Medical CenterCCN 530014 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Cheyenne Regional Medical Center AruCCN 53T014 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2016

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
53D0056263Cheyenne Regional Medical Center East Building2600 E 18TH St, Cheyenne, WY 82001Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2600 E 18th St
Fl 2
Cheyenne, WY 82001
Phone (307) 633-7321

3116 Willett Dr
Ste 6
Laramie, WY 82072
Phone (307) 633-7619

2019 Main St
Torrington, WY 82240
Phone (307) 532-4180

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Tanya Keller Individual Corporate DirectorBoard of Directors Jul 1, 2023
Corporate DirectorBoard of Directors May 1, 2024
Karlynn Quist Individual Corporate DirectorBoard of Directors Jul 1, 2023
Corporate DirectorBoard of Directors May 1, 2024
Memorial Hospital of Laramie County Organization, Cheyenne, WY 5% Or Greater Direct Ownership Interest Nov 23, 2011
Barbara Y Wigington Individual Corporate OfficerChief Financial Officer Aug 1, 2003
Corporate OfficerChief Financial Officer Aug 1, 2023
David Cook Individual Corporate DirectorBoard of Directors Jul 1, 2023
Corporate DirectorBoard of Directors May 1, 2024
Margaret (Beth) Allen Individual Operational/Managerial ControlDirector of Billing Services Jan 1, 2023
W-2 Managing EmployeeDirector of Billing Services Apr 1, 2022
Rick Fortney Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2019
Peter Obermueller Individual Corporate Director Jan 1, 2019
Corporate Director Jul 1, 2019
Jacob J Merrell Individual Corporate DirectorBoard of Directors Jul 1, 2023
Corporate DirectorBoard of Directors May 1, 2024
Jean a Halpern Individual Corporate DirectorBoard Member Jul 1, 2009
Corporate OfficerPresident - Board of Directors Jul 1, 2017
Corporate DirectorBoard Member Jul 1, 2008
Susan J Thompson Individual Corporate DirectorBoard of Directors May 1, 2024
Brad White Individual Operational/Managerial ControlRevenue Cycle Administrator May 1, 2024
W-2 Managing EmployeeRevenue Cycle Administrator May 1, 2024
Paula Poythress Individual Corporate DirectorBoard of Directors May 1, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cheyenne Regional Medical Center Home Care ServicesCheyenne, WY, CCN 537014 Home health agency 5% Or Greater Mortgage Interest Nov 23, 2011
Cheyenne Regional Davis Hospice CenterCheyenne, WY, CCN 531502 Hospice 5% Or Greater Direct Ownership Interest Oct 8, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 121

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 121

Affiliated clinicians 443

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

View all 443

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1285621839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273",
            "fax_number": "307-633-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273",
            "fax_number": "307-633-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "REVENUE CYCLE ADMINISTRATOR",
        "authorized_official_telephone_number": "307-633-6198"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WY",
            "license": "06-201",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "WY",
            "license": "06-201",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WY",
            "license": "06-201",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WY",
            "license": "06-115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107334600",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107334602",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cheyenne Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.