IVINSON MEMORIAL HOSPITAL
NPI 1033628599
Clinic/Center - Rural Health in Laramie, WY
NPI Status: Active since September 27, 2017
Contact Information
3116 WILLETT DR
LARAMIE, WY
ZIP 82072
Phone: (307) 742-6319
Fax: (307) 742-6346
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 53D0931099
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-17-2027
About IVINSON MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Ivinson Memorial Hospital, a primary care provider established in Laramie, Wyoming operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1033628599 assigned on September 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated December 2025. The authorized official of this NPI record is James Bands (Cfo)
- NPI
- 1033628599
- Provider Name
- IVINSON MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 3116 WILLETT DR LARAMIE, WY 82072
- Location Phone
- (307) 742-6319
- Location Fax
- (307) 742-6346
- Mailing Address
- 255 N 30TH ST LARAMIE, WY 82072
- Mailing Phone
- (307) 742-2142
- Mailing Fax
- (307) 742-6346
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-27-2017
- Last Update Date
- 12-26-2025
- Code Navigator
A primary care provider (PCP) like Ivinson Memorial Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 255 N 30th St
Laramie, WY 82072
(307) 742-2142
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D0931099
- Facility Type
- Hospital
- Certificate Effective Date
- November 18, 2025
- Certificate Expiration Date
- November 17, 2027
- Laboratory Director
- MICHAEL SMITH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ivinson Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033628599, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LARAMIE, WY 82072
LARAMIE, WY 82072
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033628599, enumerated as an "organization" on September 27, 2017.
The provider is located at 3116 WILLETT DR LARAMIE, WY 82072 and the phone number is (307) 742-6319.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.
