NPIMap

Organization Active NPI

Memorial Hospital of Laramie County

Doing business as Cheyenne Regional Medical Center

  • Hospitalist Physician
  • Cheyenne, WY
National Provider Identifier
1336684190
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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) 773-8012
Fax
(307) 633-7676
NPI assigned
Jan 3, 2017
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Gastroenterology Physician 207RG0100X NU
Pediatrics Physician 208000000X NU
General Practice Physician 208D00000X NU
Hospitalist Physician 208M00000X NU Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU

Addresses

Primary practice location

214 E 23Rd St
Cheyenne, WY 82001-3748

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 634-2273

Other practice location 1

2600 E 18th St
Cheyenne, WY 82001-5511
Phone (307) 637-1600

Other names 1

  • Cheyenne Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne CV and T Surge20 organizations share this tax ID, including this one
Part of
Cheyenne CV and T Surge

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1336684190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-634-2273",
            "fax_number": "307-773-8013"
        },
        {
            "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": "307-773-8012",
            "fax_number": "307-633-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015511",
            "country_code": "US",
            "telephone_number": "307-637-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "ADMINISTRATOR OF REVENUE",
        "authorized_official_telephone_number": "307-633-6198"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.