Memorial Hospital Of Laramie County
Family Medicine in Cheyenne, WY. Organization (NPI-2).
Details
- NPI
- 1194642736
- Entity type
- Organization (NPI-2)
- Legal business name
- Memorial Hospital Of Laramie County
- Organization subpart
- No
- Enumeration date
- Jul 3, 2026
- Certification date
- Jul 3, 2026
- Last updated
- Jul 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Cheyenne Family Medicine (Doing Business As)
Practice location
1950 Bluegrass Cir Ste 200Cheyenne, WY 82009-7364
Phone 307-778-2577 · Fax 307-635-2131
Mailing address
Po Box 20970Cheyenne, WY 82003-7020
Phone 307-778-2577 · Fax 307-635-2131
Authorized official
Brad White
Administrator Of Revenue
3076336198
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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