MEMORIAL HOSPITAL OF LARAMIE COUNTY
NPI 1053070953
Internal Medicine - Hematology & Oncology in Cheyenne, WY

NPI Status: Active since December 08, 2021

Contact Information

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

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  • Organization
  • Internal Medicine
  • Hematology & Oncology
  • CLIA Number: 53D2316198
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 12-29-2026

About MEMORIAL HOSPITAL OF LARAMIE COUNTY

This page provides the complete NPI Profile along with additional information for Memorial Hospital Of Laramie County, an internist established in Cheyenne, Wyoming operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1053070953 assigned on December 2021. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated one year ago. Memorial Hospital Of Laramie County operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Erin Petersen (Payer Enrollment Specialist)

NPI
1053070953
Provider Name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Entity Type
Organization
Location Address
310 E 24TH ST CHEYENNE, WY 82001
Location Phone
(307) 634-9311
Location Fax
(307) 634-5627
Mailing Address
PO BOX 20970 CHEYENNE, WY 82003
Mailing Phone
(307) 996-4777
Mailing Fax
(307) 634-5627
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-08-2021
Last Update Date
09-04-2025
Code Navigator

An internist like Memorial Hospital Of Laramie County is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN PETERSEN

Authorized Official Title
PAYER ENROLLMENT SPECIALIST
Authorized Official Phone
(307) 432-3664

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
53D2316198
Facility Type
Home Health Agency
Certificate Effective Date
December 30, 2024
Certificate Expiration Date
December 29, 2026
Laboratory Director
KELLEY TURNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Memorial Hospital Of Laramie County to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1053070953, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 0 + 7 + 0 + 9 + 1 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053070953.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
310 E 24TH ST
CHEYENNE, WY 82001
Radiology (Radiation Oncology)
310 E 24TH ST
CHEYENNE, WY 82001
Internal Medicine (Hematology & Oncology)
310 E 24TH ST
CHEYENNE, WY 82001
Nurse Practitioner (Family)
310 E 24TH ST
CHEYENNE, WY 82001
Internal Medicine (Hematology & Oncology)
310 E 24TH ST
CHEYENNE, WY 82001
Dietitian, Registered
310 E 24TH ST
CHEYENNE, WY 82001
Radiology (Radiation Oncology)
310 E 24TH ST
CHEYENNE, WY 82001
Dietitian, Registered
310 E 24TH ST
CHEYENNE, WY 82001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053070953, enumerated as an "organization" on December 08, 2021.

The provider is located at 310 E 24TH ST CHEYENNE, WY 82001 and the phone number is (307) 634-9311.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.