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LANDER OUTPATIENT SURGICAL CENTER
NPI 1457548711
Clinic/Center - Ambulatory Surgical in Lander, WY

Active since October 01, 2007
1320 BISHOP RANDALL DR, LANDER, WY 82520(307) 335-6565(307) 335-6566 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lander Outpatient Surgical Center NPPES

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

LANDER OUTPATIENT SURGICAL CENTER (NPI 1457548711) is a healthcare organization registered as an ambulatory surgical in Lander, Wyoming and active in the NPI registry since October 2007. The organization lists Donald J. Bivacca, President, as its authorized official.

NPPES Registry Identity

NPI1457548711
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLANDER VALLEY AMBULATORY SURGERY CENTER LLC
Location Address1320 BISHOP RANDALL DRLander, WY 82520-3939
Mailing Address103 Powell CtBrentwood, TN 37027-5079 · (615) 372-8500 · Fax (615) 372-8572
Phone(307) 335-6565
Fax(307) 335-6566
Organization SubpartNo
Authorized OfficialDonald J. BivaccaPresident · (615) 372-8500
Enumeration DateOctober 1, 2007
Last NPPES UpdateOctober 3, 2013
✔ NPI 1457548711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1320 BISHOP RANDALL DR, Lander, WY 82520
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Other Names 1

Doing Business AsLander Outpatient Surgical Center

Other Identifiers 1

Medicare OSCAR/certificationW21584WY

Other Providers at the Same Location NPPES 20

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

GREGORY PAUL CLIFFORD M.D.
Emergency Medicine
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 335-6365
LANDER VALLEY MEDICAL CENTER LLC
Internal Medicine
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 335-6509
ASHLEIGH GARDNER
Occupational Therapist
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 335-6384
RIVERTON MEMORIAL HOSPITAL LLC
General Acute Care Hospital (Rural)
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 332-4420
TREVOR WILLIAM STEPHEN
Student in an Organized Health Care Education/Training Program
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 332-4420
LANDER VALLEY MEDICAL CENTER LLC
General Acute Care Hospital (Rural)
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 332-4420
BENJAMIN CRAWFORD RN
Registered Nurse (Emergency)
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 335-6395
LANDER VALLEY MEDICAL CENTER LLC
Anesthesiology
1320 BISHOP RANDALL DR
LANDER, WY 82520
Fremont County (307) 332-4420

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 Lander Valley Ambulatory Surgery Center LLC's NPI number?

The NPI number for Lander Valley Ambulatory Surgery Center LLC is 1457548711. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Lander Outpatient Surgical Center.

Where is Lander Valley Ambulatory Surgery Center LLC located?

Lander Valley Ambulatory Surgery Center LLC is located at 1320 Bishop Randall Dr, Lander, WY 82520. The listed phone number is (307) 335-6565.

What is Lander Valley Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Lander Valley Ambulatory Surgery Center LLC was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.