NPI 1295494037 · live from the CMS NPI Registry
Memorial Hospital Of Laramie County
Family Medicine in Cheyenne, WY. National Provider Identifier 1295494037, active.
NPI record
| NPI | 1295494037 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 214 E 23rd St, Cheyenne, WY 82001 |
| Practice phone | 307-633-6088 |
| Mailing address | Po Box 20970, Cheyenne, WY 82003 |
| Enumerated | December 9, 2021 |
| Last updated | July 3, 2026 |
| Authorized official | Brad White, Administrator Of Revenue |
| Other names | Wound Care Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| General Practice | 208D00000X | — |
| Surgery | 208600000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.