Lander Valley Medical Center LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

LANDER VALLEY MEDICAL CENTER LLC

Doing business as

Lander Regional Hospital

Practice address

1320 Bishop Randall Dr
Lander, WY 82520-3939

Phone

(307) 332-4420

Fax

(307) 332-3548

NPI assigned

Oct 4, 2006

Organization subpart

Yes

Parent organization

LANDER VALLEY MEDICAL CENTER LLCAs reported in NPPES

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

Authorized official

Name

Donald J. Bivacca

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Lander Regional Hospital Doing business as

Part of

Lander Valley Medical Center LLC

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1932295599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BISHOP RANDALL DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203939",
            "telephone_number": "307-332-4420",
            "fax_number": "307-332-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDER VALLEY MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDER VALLEY MEDICAL CENTER LLC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "BIVACCA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lander Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lander Valley Ambulatory Surgery Center LLC (Lander Outpatient Surgical Center)
• Lander Valley Family Practice PC
• Lander Valley Medical Center LLC (Lander Valley Medical Center Hospitalists)
• Lander Valley Medical Center LLC (Lander Regional Hospital)
• Lander Valley Medical Center LLC
• Lander Valley Medical Center LLC (Lander Regional Hospital)
• Lander Valley Medical Center LLC (Lander Regional Hospital)
• Lander Valley Physician Practices, LLC
• Lander Valley Sleep Lab LLC
• Lander Vision Center, PC

• Rehabilitation Hospital Unit in Lander, WY
• Providers in Lander, WY by specialty
• Rehabilitation Hospital Unit in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.