Lander Valley Medical Center LLC

NPI #1194849331 in Lander, Wyoming

Provider Information

NPI Number: 1194849331
Entity Type: Organization
Organization Name: Lander Valley Medical Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LIFE POINT HOSPITAL
Primary Specialty: Internal Medicine
Enumeration Date: Mar 16, 2007
Last Updated: Jan 5, 2010

Practice Location

Address: 1320 BISHOP RANDALL DR
City: Lander
State: Wyoming
ZIP Code: 82520-3939
Phone: (307) 335-6509

Authorized Official

Name: MICHAEL B CLARK
Title: DIVISION PRESIDENT
Phone: (615) 565-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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