| Evanston Hospital Corporation | |
|
107 N Main Street Lyman WY 82937-0001 | |
| (307) 787-3313 | |
| (307) 787-3312 |
| Full Name | Evanston Hospital Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 N Main Street, Lyman, Wyoming |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Hospital Corporation 107 N Main Street Lyman WY 82937-0001 Ph: (307) 787-3313 | Evanston Hospital Corporation 107 N Main Street Lyman WY 82937-0001 Ph: (307) 787-3313 |
| NPI Number | 1134666944 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 7113900358 |
|---|---|
| Medicare Enrollment ID | O20171020001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134666944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 15107 (Wyoming) | Primary |
Evanston Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St., Lyman, WY 82937 Phone: 307-787-3313 | |
Prosperity Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Owen Ave, Lyman, WY 82937 Phone: 307-679-1403 Fax: 307-242-5077 | |
Evanston Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St, Lyman, WY 82937 Phone: 307-787-3313 |