EVANSTON HOSPITAL CORPORATION NPI 1427595271

NPI Information

NPI: 1427595271
Provider Name: EVANSTON HOSPITAL CORPORATION

Doing Business As: BRIDGER VALLEY MEDICAL GROUP

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

Specialization: Rural Health

Address:
531 PARKWAY DRIVE
MOUNTAIN VIEW, WY
ZIP 82939
Phone: (307) 782-7560
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EVANSTON HOSPITAL CORPORATION is a rural health clinic center in Mountain View, WY. EVANSTON HOSPITAL CORPORATION NPI is 1427595271. 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:

531 PARKWAY DRIVE
MOUNTAIN VIEW, WY
ZIP 82939-208
Phone: (307) 782-7560
Fax: (307) 782-7024

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 CLIA number assigned to this NPI record is 53D1080144 - rural health clinic with a certificate type of Certificate of Waiver.

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
1	261QR1300X	Clinic/Center	Rural Health	15107	WYOMING	Yes

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: 4/28/2024

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