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MEMORIAL HOSPITAL OF LARAMIE COUNTY NPI 1053070953


NPI Information

NPI: 1053070953
Provider Name: MEMORIAL HOSPITAL OF LARAMIE COUNTY
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 53D2152188

Address:
310 E 24TH ST
CHEYENNE, WY
ZIP 82001
Phone: (307) 634-9311
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MEMORIAL HOSPITAL OF LARAMIE COUNTY is a hematology and oncology internal medicine in Cheyenne, WY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MEMORIAL HOSPITAL OF LARAMIE COUNTY NPI is 1053070953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 E 24TH ST
CHEYENNE, WY
ZIP 82001-126
Phone: (307) 634-9311
Fax: (307) 634-5627

The provider's authorized official is Margaret E. Allen .
The authorized official title is Director Of Billing Services and has the following contact phone number (307) 773-8237.

The CLIA number assigned to this NPI record is 53D2152188 - other - pace-program of all with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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