State of Wyoming
State of Wyoming provides General Practice Physician services in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.
- Licensed in
- WY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
251 Yellowstone River DrEvanston, WY 82930-5340
Phone: (307) 444-0839
Fax: (307) 789-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X · Licence 15163 (WY) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 15163 (WY) |
Record details
| NPI number | 1316011562 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristi Barker — Business Manager · (307) 444-0721 |
| Other names | Wyoming State Hospital |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 23, 2024 |
| Mailing address | Po Box 177, Evanston, WY 82931-0177 |