Organization · Type 2 NPI

Wyoming State Hospital

Chronic Disease Hospital · Evanston, WY

NPI number 1104811256 Active

Practice location

831 Highway 150 S, Pharmacy Rm 519
Evanston, WY 82930-5340

Call (307) 789-3464 Map

Fax (307) 789-3660

Specialties and licenses

TaxonomyCodeLicense
Chronic Disease Hospital Primary 281P00000X52-01138 (WY)

Chronic Disease Hospital: (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition…

16 other providers at this address

About NPI 1104811256

Wyoming State Hospital's National Provider Identifier is 1104811256, issued on Sep 14, 2005. The primary taxonomy on file is Chronic Disease Hospital (281P00000X), and the practice location is in Evanston, WY. The record was last updated on Aug 22, 2020.