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EVANSTON HOSPITAL CORPORATION NPI 1134666944


NPI Information

NPI: 1134666944
Provider Name: EVANSTON HOSPITAL CORPORATION

Doing Business As: BRIDGER VALLEY MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
107 N MAIN STREET
LYMAN, WY
ZIP 82937
Phone: (307) 787-3313
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EVANSTON HOSPITAL CORPORATION is a rural health clinic center in Lyman, WY. EVANSTON HOSPITAL CORPORATION NPI is 1134666944. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridger Valley Medical Group.

The provider's business location address is:

107 N MAIN STREET
LYMAN, WY
ZIP 82937-001
Phone: (307) 787-3313
Fax: (307) 787-3312

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

The enumeration date for this NPI number is 1/31/2017 and was last updated on 7/7/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health15107WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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