State of Wyoming

NPI #1316011562 in Evanston, Wyoming

Provider Information

NPI Number: 1316011562
Entity Type: Organization
Organization Name: State of Wyoming
Primary Specialty: Psychiatric Hospital
Enumeration Date: Nov 20, 2006
Last Updated: Jan 25, 2024

Practice Location

Address: 251 YELLOWSTONE RIVER DR
City: Evanston
State: Wyoming
ZIP Code: 82930-5340
Phone: (307) 444-0839

Authorized Official

Name: MS. KRISTI BARKER
Title: BUSINESS MANAGER
Phone: (307) 444-0721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Psychiatric Hospital	283Q00000X	Primary

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