Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lander Valley Ambulatory Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1457548711

Lander Valley Ambulatory Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Lander, Wyoming. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone: (307) 335-6565
Fax: (307) 335-6566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1457548711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Bivacca — President · (615) 372-8500
Other names Lander Outpatient Surgical Center
NPI enumeratedOctober 1, 2007
Last updated in NPPESOctober 3, 2013
Mailing address103 Powell Ct, Brentwood, TN 37027-5079

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