NPI 1356313506

Evanston Hospital Corporation

Organisation Medicare Defined Swing Bed Hospital Unit Evanston, WY

Practice location

Address: 190 Arrowhead Dr, Evanston, WY 82930-9266
Phone: (307) 789-3636
Fax: (307) 783-8167
Mailing address: PO Box 6000 File 73783, San Francisco, CA 94160-0001

Authorised official

Name: Randy Michael Cooper
Title: Svp Finance Operations/Ao
Phone: (615) 221-3840

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence 06-165 (WY)

Other Medicare Defined Swing Bed Unit providers in Wyoming →

Registry record

NPI: 1356313506
Entity type: Organization
NPI issued: 2 Feb 2006
Record last updated: 3 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.