Riverton Memorial Hospital LLC

NPI #1932247012 in Riverton, Wyoming

Provider Information

NPI Number: 1932247012
Entity Type: Organization
Organization Name: Riverton Memorial Hospital LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 2, 2007
Last Updated: Oct 3, 2013

Practice Location

Address: 2100 W SUNSET DR
City: Riverton
State: Wyoming
ZIP Code: 82501-2274
Phone: (307) 856-4361

Authorized Official

Name: DONALD J. BIVACCA
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Obstetrics & Gynecology	207V00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Surgery	208600000X
Internal Medicine	207R00000X	Primary

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