EVANSTON REGIONAL HOSPITAL (NPI# 1780076364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780076364 |
| Entity Type | Organization |
| Organization Name | EVANSTON REGIONAL HOSPITAL |
| Practice Address |
531 Parkway Drive Mountain View WY 82939 |
| Practice Telephone | 3077827560 |
| Mailing Telephone | 3077827560 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | ANDREW WILEY (CLINIC SUPERVISOR) |
| Authorized Official Telephone | 3077893636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
33582.1375 | WY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVANSTON REGIONAL HOSPITAL | 190 Arrowhead Dr, Evanston, WY 82930-9266 |
| Street Address |
531 PARKWAY DRIVE |
| City | MOUNTAIN VIEW |
| State | WY |
| Zip Code | 82939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356572101 | Steven Wayne Babcock | Family Medicine | 531 Parkway Drive, Mountain View, WY 82939 | 2009-07-28 |
| 1427595271 | Evanston Hospital Corporation | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939-0208 | 2017-01-31 |
| 1245680149 | Sara Hunt | Nurse Practitioner | 531 Parkway Drive, Mountain View, WY 82939 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568922 | Paul R Burpo Jr. | Pharmacist | 950 N Hwy 414, Mountain View, WY 82939 | 2019-09-23 |
| 1770043234 | Bvp LLC | Pharmacy | 950 N. Hwy 414, Mountain View, WY 82939 | 2019-03-21 |
| 1508322603 | Blacks Fork Dental, PC | Clinic/Center | 650 Parkway Dr, Mt View, WY 82939 | 2019-02-13 |
| 1073062774 | Kirstin Dennis | Speech-Language Pathologist | 1001 Hwy 414 North, Mountain View, WY 82939 | 2016-09-23 |
| 1639525702 | Alliance Case Management | Case Manager/Care Coordinator | 657 Parkway Dr., Mountain View, WY 82939 | 2016-05-09 |
| 1609175405 | Sandra Lee Jones | Case Manager/Care Coordinator | 210 Riverbend Drive, Mountain View, WY 82939 | 2011-03-18 |
| 1184922007 | Jeffery La Von Walker | Case Manager/Care Coordinator | 210 Riverbend Dr., Mountain View, WY 82939 | 2011-03-01 |
| 1992034128 | Lincoln Uinta Child Development Association | Case Management | 1050 Highway 414, Mountain View, WY 82939 | 2009-12-17 |
| 1548599970 | Susan Parkinson | Case Manager/Care Coordinator | 3284 Aspen Lane, Box 969, Mountain View, WY 82939 | 2009-12-14 |
| 1124272372 | Timberland Chiropractic PC | Chiropractor | 1050 N Hwy 414, Mountain View, WY 82939 | 2008-11-13 |
| Find all providers in zip 82939 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1164055034 | South County Community Health Center Inc | Clinic/Center | 900 Miramonte Ave Fl 2, Mountain View, CA 94040-2457 | 2020-02-19 |
| 1306190806 | Kenneth P Chin | Clinic/Center | 555 Clyde Ave, Suite 120, Mountain View, CA 94043-2269 | 2012-11-05 |
| 1457396616 | White River Health System, Inc. | Clinic/Center | 2202 E Main St, Mountain View, AR 72560-6402 | 2006-06-19 |
| 1497996888 | Dr. Andy's Family Practice, Pllc | Clinic/Center | 1809 Ozarka College Drive, Mountain View, AR 72560 | 2009-03-13 |
| 1811183346 | David A. Lewis, M.d., Inc. | Clinic/Center | 2204 Grant Rd, Suite 105, Mountain View, CA 94040-3855 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205382819 | Stagecoach Health PC | Clinic/Center | 511 Osborne St., Baggs, WY 82321 | 2016-09-01 |
| 1316383888 | Frontier Family Practice LLC | Clinic/Center | 1123 Big Horn Ave, Worland, WY 82401-2802 | 2013-05-10 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1164650719 | Rocky Mountain Family Medicine LLC | Clinic/Center | 5840 E 2nd St. Suite 200, Casper, WY 82601 | 2009-06-22 |
| 1639359045 | Sunrise Chiropractic Inc | Clinic/Center | 1439 Stillwater Ave Ste 5, Cheyenne, WY 82009-7367 | 2007-11-14 |
| 1396801908 | Healing Element Chiropractic LLC | Clinic/Center | 621 N 10th St E, Riverton, WY 82501-2906 | 2006-12-28 |
| 1265521363 | Medcor of Barrington, PC | Clinic/Center | One Mammoth Hot Springs, Yellowstone Nat'l Park, Mammoth, WY 82190 | 2006-10-12 |
| 1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
| 1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 82939 |
Please comment or provide details below to improve the information on EVANSTON REGIONAL HOSPITAL.
| 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.