Memorial Hospital of Laramie County
Organization Active NPI Internal Medicine Physician · Cheyenne, WY
NPI 1942969787 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1942969787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MEMORIAL HOSPITAL OF LARAMIE COUNTY
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 633-7955
- Fax
- (307) 633-7018
- NPI assigned
- Dec 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Brad White
- Title
- Administrator of Revenue
- Phone
- (307) 633-6198
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Memorial Hospital of
- Part of
- Memorial Hospital of
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Nurse Practitioner |
363L00000X | |||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Gerontology Nurse Practitioner |
363LG0600X |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 633-7955
Other names
- Supportive (Palliative) Care
Other providers in Cheyenne, WY
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Megan Marie Mendoza
- Arthur Nelson Merrell
- Montanna Lee Merrick
- Brendelyn Merritt
- Emily Metcalf
All providers in Cheyenne, WY · Internal Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.