Organization · Type 2 NPI

South Lincoln Hospital District

Rural Health Clinic/Center · Evanston, WY

NPI number 1689207722 Active

Practice location

195 Feather Way Stop 100
Evanston, WY 82930-9352

Call (307) 200-9200 Map

Mailing address

711 Onyx St
Kemmerer, WY 83101-3214

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Evanston

Sterling Provider GroupRural Health Clinic/Center Evanston, WY NPI 1164044962

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NPI record

NPI: 1689207722
Entity type: Organization (Type 2)
Issued: Feb 18, 2020
Last updated: Oct 24, 2025
Status: Active
Subpart: Yes of South Lincoln Hospital District

Other names

<unavail>
Arrowhead Family Medicine · doing business as
Arrowhead Family Medicine · doing business as

Authorized official

David Ryerse
CEO
(307) 800-8650

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 1689207722

South Lincoln Hospital District's National Provider Identifier is 1689207722, issued on Feb 18, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Evanston, WY. The record was last updated on Oct 24, 2025.