Evanston Hospital Corporation is a health care provider in Lyman, WY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||107 N Main Street, Lyman, WY 82937-0001, US|
|Practice Location Phone||307-787-3313|
|Practice Location Fax||307-787-3312|
|Legal Business Name||EVANSTON HOSPITAL CORPORATION|
|Other Organization Name||BRIDGER VALLEY MEDICAL GROUP|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jan 31, 2017|
|Last Update Date ?||Jan 31, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health||15107||Wyoming|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Evanston Hospital Corporation's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Tara Richardson|
|Authorized Official Title/Position||AUTHORIZED OFFICIAL|
|Authorized Official Phone Number||615-221-3672|