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LARAMIE PEAK RURAL HEALTH CLINIC
NPI 1003413212
Clinic/Center - Rural Health in Wheatland, WY

Active since October 01, 2020CLIA Certified · 3 labs
1356 SHIEK ST, WHEATLAND, WY 82201(307) 358-7300 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 7, 2020, Oct 1, 2020 (2 updates tracked since 2020).

About Laramie Peak Rural Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARAMIE PEAK RURAL HEALTH CLINIC (NPI 1003413212) is a healthcare organization registered as a rural health in Wheatland, Wyoming and active in the NPI registry since October 2020. The organization holds 3 active CLIA laboratory certificates and lists James M Cussins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003413212
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL HOSPITAL OF CONVERSE COUNTY
Location Address1356 SHIEK STWheatland, WY 82201-3231
Mailing AddressPo Box 1450Douglas, WY 82633-1450 · (307) 358-1403 · Fax (307) 358-3432
Phone(307) 358-7300
Organization SubpartYesParent: Memorial Hospital Of Converse Count
Authorized OfficialJames M CussinsCfo · (307) 358-2122
Enumeration DateOctober 1, 2020
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1003413212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1356 SHIEK ST, Wheatland, WY 82201
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Other Names 1

Doing Business AsLaramie Peak Rural Health Clinic

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 53D2195828

Laramie Peak Rural Health Clinic · Wheatland, WY
Active · expires May 29, 2028
CLIA Number53D2195828
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorAnna M. Cobb
Laboratory Phone(307) 322-8114
Laboratory LocationLaramie Peak Rural Health Clinic1356 Shiek Street, Wheatland, WY 82201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 53D2161638

Memorial Hospital Of Converse County Medical Office Bldg · Douglas, WY
Active · expires Jul 29, 2028
CLIA Number53D2161638
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2026
Certificate Expiration DateJuly 29, 2028
Laboratory DirectorAnna M. Cobb
Laboratory Phone(307) 358-7300
Laboratory LocationMemorial Hospital Of Converse County Medical Office Bldg700 Center Street, Douglas, WY 82633
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 53D0662194

Memorial Hospital Of Converse County · Douglas, WY
Active · expires Mar 13, 2028
CLIA Number53D0662194
Laboratory TypeHospital
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorNyasha Bullock
Laboratory Phone(307) 358-7377
Laboratory LocationMemorial Hospital Of Converse County111 South 5th Street, Douglas, WY 82633
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANNER HEALTH PHYSICIANS WEST LLC
Clinic/Center (Multi-Specialty)
1356 SHIEK ST
WHEATLAND, WY 82201
Platte County (307) 322-3861
BANNER HEALTH PHYSICIANS WEST LLC
Clinic/Center (Multi-Specialty)
1356 SHIEK ST
WHEATLAND, WY 82201
Platte County (307) 322-3861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital Of Converse County's NPI number?

The NPI number for Memorial Hospital Of Converse County is 1003413212. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Laramie Peak Rural Health Clinic.

Where is Memorial Hospital Of Converse County located?

Memorial Hospital Of Converse County is located at 1356 Shiek St, Wheatland, WY 82201. The listed phone number is (307) 358-7300.

What is Memorial Hospital Of Converse County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Memorial Hospital Of Converse County hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Of Converse County was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.