NPIMap

Organization Active NPI

Memorial Hospital of Laramie County

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1730006370
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Practice address
5416 Education Dr
Cheyenne, WY 82009-4094
Phone
(307) 778-3675
Fax
(307) 632-3302
NPI assigned
Jul 3, 2026
Organization subpart
Yes
Parent organization
CHEYENNE REGIONAL MEDICAL CENTERAs reported in NPPES

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5416 Education Dr
Cheyenne, WY 82009-4094

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 778-3675

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital of20 organizations share this tax ID, including this one

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": "1783036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1730006370",
    "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": "307-778-3675",
            "fax_number": "307-632-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094094",
            "telephone_number": "307-778-3675",
            "fax_number": "307-632-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE REGIONAL MEDICAL CENTER",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR OF REVENUE",
        "authorized_official_telephone_number": "307-633-6198"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.