Organization · Type 2 NPI

Evanston Hospital Corporation

Medicare Defined Swing Bed Hospital Unit · Evanston, WY

NPI number 1356313506 Active

Practice location

190 Arrowhead Dr
Evanston, WY 82930-9266

Call (307) 789-3636 Map

Fax (307) 783-8167

Mailing address

PO Box 6000 File 73783
San Francisco, CA 94160-0001

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	06-165 (WY)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

18 other providers at this address

NPI record

NPI: 1356313506
Entity type: Organization (Type 2)
Issued: Feb 2, 2006
Last updated: Sep 3, 2020
Status: Active
Subpart: Yes of Evanston Hospital Corporation

Other names

<unavail>
Evanston Regional Hospital · doing business as
Evanston Regional Hospital · doing business as

Authorized official

Randy Michael Cooper
SVP Finance Operations/ao
(615) 221-3840

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356313506

Evanston Hospital Corporation's National Provider Identifier is 1356313506, issued on Feb 2, 2006. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Evanston, WY. The record was last updated on Sep 3, 2020.