Evanston Hospital Corporation

NPI #1356313506 in Evanston, Wyoming

Provider Information

NPI Number
1356313506
Entity Type
Organization
Organization Name
Evanston Hospital Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
EVANSTON HOSPITAL CORPORATION
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Feb 2, 2006
Last Updated
Sep 3, 2020

Practice Location

Address
190 ARROWHEAD DR
State
Wyoming
ZIP Code
82930-9266
Phone
(307) 789-3636

Authorized Official

Name
RANDY MICHAEL COOPER
Title
SVP FINANCE OPERATIONS/AO
Phone
(615) 221-3840

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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