EVANSTON HOSPITAL CORPORATION (NPI# 1366989014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366989014 |
| Entity Type | Organization |
| Organization Name | EVANSTON HOSPITAL CORPORATION |
| Practice Address |
107 N Main St. Lyman WY 82937-0001 |
| Mailing Address |
Po Box 5009 Brentwood TN 37024-5009 |
| Practice Telephone | 3077873313 |
| Mailing Telephone | 6152211400 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | JEREMY DAVIS (CEO) |
| Authorized Official Telephone | 3077838255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255304051 | Evanston Hospital Corporation | Clinic/Center | 112 Yellow Creek Rd, Evanston, WY 82930-9266 | 2006-02-10 |
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1427595271 | Evanston Hospital Corporation | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939-0208 | 2017-01-31 |
| 1134666944 | Evanston Hospital Corporation | Clinic/Center | 107 N Main Street, Lyman, WY 82937-0001 | 2017-01-31 |
| 1013288836 | Evanston Hospital Corporation | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2012-01-25 |
| 1801832548 | Evanston Hospital Corporation | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-06-21 |
| 1356313506 | Evanston Hospital Corporation | Medicare Defined Swing Bed Unit | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-02 |
| Street Address |
107 N MAIN ST. |
| City | LYMAN |
| State | WY |
| Zip Code | 82937-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952391 | Gary Noe | Family Medicine | 107 N Main St., Lyman, WY 82937 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417088 | Valley Counseling & Coaching LLC | Social Worker | 109 S. Main St. Suite D, Lyman, WY 82937 | 2019-10-07 |
| 1912462326 | South Lincoln Hospital District | Pharmacy | 2822 Wy 414, Lyman, WY 82937 | 2019-02-11 |
| 1023585775 | Autumn Spann | Behavior Technician | 210 Aspen St, Urie, WY 82937 | 2018-10-31 |
| 1821472903 | Cowboy Cares, Inc. | Home Health | 70 Meadow Street, Lyman, WY 82937 | 2015-07-17 |
| 1952729857 | Bridger Valley Urgent Care, LLC | Emergency Medicine | 3580 State Highway 414, Lyman, WY 82937 | 2014-03-29 |
| 1124442249 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 106 S Main Street, 1, Lyman, WY 82937 | 2014-02-10 |
| 1760668362 | Jason R. Haycock | Chiropractor | 225 W Owen St., Lyman, WY 82937 | 2008-01-14 |
| 1205977006 | Ashby Wood Tippets | Dentist | 37 Mt. Meadow St., Suite C, Lyman, WY 82937 | 2007-02-12 |
| 1588757041 | Lynn J Clifford | Dentist | 37 Meadow St, #11, Lyman, WY 82937 | 2006-10-02 |
| 1639184096 | Randall Carter Christopherson | Physical Therapist | 109 South Main St., Suite D, Lyman, WY 82937 | 2006-07-31 |
| Find all providers in zip 82937 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952391 | Gary Noe | Family Medicine | 107 N Main St., Lyman, WY 82937 | 2005-06-16 |
| 1871971457 | Middle Tyger Community Center | Family Medicine | 84 Groce Rd, Lyman, SC 29365-1761 | 2015-05-14 |
| 1801084926 | Evanston Clinic Corp | Family Medicine | 107 N Main St, Lyman, WY 82937 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1639781875 | Relymd Medical Group, LLC | Family Medicine | 1920 Thomes Ave Ste 610, Cheyenne, WY 82001-3548 | 2020-08-19 |
| 1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
| 1366000580 | Midwest/edgerton Medical Services, Inc. | Family Medicine | 531 Peake St., Midwest, WY 82643 | 2019-06-03 |
| 1164906467 | American Medical Associates, Inc | Family Medicine | 109 E 17th St Ste 25, Cheyenne, WY 82001-4548 | 2018-09-21 |
| 1578057196 | Chere A Bohr | Family Medicine | 2508 E Fox Farm Rd Ste 512, Cheyenne, WY 82007-2559 | 2018-06-18 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1043747181 | Caroline Lamar Pihl | Family Medicine | 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 | 2017-05-19 |
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| 1871994301 | Theresa Marie Karter | Family Medicine | 32 Sage Dr, Cody, WY 82414-8228 | 2014-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.