EVANSTON CLINIC CORP NPI 1013916519

NPI Information

EVANSTON CLINIC CORP is a family medicine in Evanston, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EVANSTON CLINIC CORP NPI is 1013916519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

196 ARROWHEAD DR STE 8
EVANSTON, WY
ZIP 82930-752
Phone: (307) 783-8365
Fax: (307) 783-8284

The provider's authorized official is Laura J Fey .
The authorized official title is Director Revenue Cycle and has the following contact phone number (615) 221-3641.

The CLIA number assigned to this NPI record is 53D0677203 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2005 and was last updated on 3/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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