Ivinson Memorial Hospital

NPI #1952585861 in Laramie, Wyoming

Provider Information

NPI Number: 1952585861
Entity Type: Organization
Organization Name: Ivinson Memorial Hospital
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 27, 2007
Last Updated: Apr 23, 2021

Practice Location

Address: 255 N 30TH ST
City: Laramie
State: Wyoming
ZIP Code: 82072-5195
Phone: (307) 742-2141

Authorized Official

Name: JAMES BANDS
Title: CFO
Phone: (307) 755-4603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital - Rural — Rural	282NR1301X
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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