WYOMING STATE HOSPITAL is a chronic disease hospital in Evanston, WY. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. WYOMING STATE HOSPITAL NPI is 1104811256. The provider is registered as an organization entity type.
The provider's business location address is:
831 HIGHWAY 150 S
PHARMACY RM 519
EVANSTON, WY
ZIP 82930-340
Phone: (307) 789-3464
Fax: (307) 789-3660
The provider's authorized official is Pablo Hernandez .
The authorized official title is Superintendent and has the following contact phone number (307) 789-3464.
The CLIA number assigned to this NPI record is 53D0679889 - hospital with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 9/14/2005 and was last updated on 8/22/2020.