Organization Active NPI

Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
National Provider Identifier
1528236247
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
7108 Issued in WY
Legal business name
IVINSON MEMORIAL HOSPITAL
Doing business as
Ivinson Memorial Hospital
Practice address
255 N 30TH St
Laramie, WY 82072-5140
Phone
(307) 766-9525
Fax
(307) 766-9510
NPI assigned
Feb 15, 2008
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
James Bands
Title
Cfo
Phone
(307) 755-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 7108 WY Primary

Addresses

Primary practice location

255 N 30TH St
Laramie, WY 82072-5140

Mailing address

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142

Other names 1

  • IVINSON MEMORIAL HOSPITAL Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1528236247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-2142",
            "fax_number": "307-766-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-766-9525",
            "fax_number": "307-766-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVINSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BANDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-755-4603"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WY",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVINSON MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.