| Evanston Regional Hospital | |
|
531 Parkway Drive Mountain View WY 82939 | |
| (307) 782-7560 | |
| Not Available |
| Full Name | Evanston Regional Hospital |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 531 Parkway Drive, Mountain View, Wyoming |
| Authorized Official Name and Position | Andrew Wiley (CLINIC SUPERVISOR) |
| Authorized Official Contact | 3077893636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Regional Hospital 531 Parkway Drive Mountain View WY 82939 Ph: (307) 782-7560 | Evanston Regional Hospital 531 Parkway Drive Mountain View WY 82939 Ph: (307) 782-7560 |
| NPI Number | 1780076364 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780076364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 33582.1375 (Wyoming) | Primary |
Evanston Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Parkway Drive, Mountain View, WY 82939 Phone: 307-782-7560 Fax: 307-782-7024 |