Community Hospital

Organization Active NPI Critical Access Hospital · Torrington, WY

NPI 1669410643 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1669410643
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
06-146 (WY)
Legal business name
COMMUNITY HOSPITAL
Practice address
2000 Campbell Dr
Torrington, WY 82240-1528
Phone
(307) 532-4181
NPI assigned
Jun 3, 2006
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Ingrid Long
Title
Ceo
Phone
(307) 532-4181

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 12

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

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

Member of 1

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 59

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

View all 59

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 117

Affiliated clinicians 112

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

View all 112

Medicare Care Compare: Hospital

Listed as
Community Hospital CCN 531307
Overall star rating
★★☆☆☆ 2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WY

Hospital certification: CCN 531307

Legal name
COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 18, 2002
Last certification
Sep 9, 2011
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
2000 Campbell Dr
Torrington, WY 82240-1528
Main/Primary Hospital Location

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Julie Ann Alvarado-Dubek
Individual
Corporate Officer
Officer
Feb 1, 2022
Ingrid Long
Individual
Corporate Director
Ceo
Jul 21, 2024
W-2 Managing Employee
Ceo
Jul 21, 2024
Marjorie J Bessel
Individual
Corporate Officer
Officer
Jan 1, 2018
Jean Lance
Individual
Corporate Officer
Clo
Jun 30, 2022
Staci Dickerson
Individual
Corporate Officer
Cfo
Jul 17, 2023
Carole Faig
Individual
Corporate Director
Board Member
Mar 1, 2026
Paris Labruzzo
Individual
Corporate Director
Sr Director
Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Dean M Harrison
Individual
Corporate Director
Board Member
Sep 1, 2023
Anne Mariucci
Individual
Corporate Officer
Officer
Mar 1, 2015
Sujata Gosalia
Individual
Corporate Director
Director
Sep 1, 2018
Brenda a Schaefer
Individual
Corporate Officer
Treasurer
Mar 6, 2014
Quentin P Smith
Individual
Corporate Director
Board Member
Sep 1, 1999
Vicki Keiser
Individual
Corporate Director
Director
Jun 1, 2017
Holly Gregory
Individual
Corporate Director
Sr Manager
Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Sara Ward
Individual
Corporate Director
Board Member
Sep 1, 2023
Michael L Butler
Individual
Corporate Director
Board Member
Sep 1, 2025
Mary Schubert
Individual
Corporate Officer
Assistant Secretary
Jan 1, 2024
Amy Perry
Individual
Corporate Officer
Officer
Nov 1, 2021
Rick Myers
Individual
Corporate Director
Board Member
Sep 1, 2023
John F Koster
Individual
Corporate Director
Director
Dec 11, 2015
Mark Wallace
Individual
Corporate Director
Director
Sep 1, 2021
Christopher H Volk
Individual
Corporate Director
Board Member
Dec 9, 2009
Michael Garnreiter
Individual
Corporate Director
Board Member
Aug 1, 2012
Banner Health
Organization · Phoenix, AZ
5% Or Greater Direct Ownership Interest Jan 1, 2003 100%
Operational/Managerial Control Mar 18, 2015 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040127001124 WY Part B Supplier - Clinic/Group Practice 6608784194 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
Practice locations: Torrington, WY
O20061104000311 WY Part a Provider - Critical Access Hospital 6608784194 Receives reassigned benefits from 73 practitioners
Practice locations: Torrington, WY

National Provider Directory

Part of
M E Lee MD

Locations

2000 Campbell Dr
Ste B
Torrington, WY 82240
Phone (307) 534-7113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 06-146 WY Yes

Addresses

Primary practice location

2000 Campbell Dr
Torrington, WY 82240-1528

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107

Other practice location 2

2000 Campbell Dr Ste B
Torrington, WY 82240-1528
Phone (307) 534-7173

Other identifiers

IdentifierTypeStateIssuer
103512600MedicaidWY

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Torrington, WY

All providers in Torrington, WY · Critical Access Hospital in Wyoming

Sources for this page

Verify at the official NPI Registry.