| Evanston Hospital Corporation | |
|
531 Parkway Drive Mountain View WY 82939-0208 | |
| (307) 782-7560 | |
| (307) 782-7024 |
| Full Name | Evanston Hospital Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 531 Parkway Drive, Mountain View, 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 531 Parkway Drive Mountain View WY 82939-0208 Ph: (307) 782-7560 | Evanston Hospital Corporation 531 Parkway Drive Mountain View WY 82939-0208 Ph: (307) 782-7560 |
| NPI Number | 1427595271 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 7113900358 |
|---|---|
| Medicare Enrollment ID | O20171229001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427595271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 15107 (Wyoming) | Primary |
Evanston Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Parkway Drive, Mountain View, WY 82939 Phone: 307-782-7560 |