institution
Evanston Hospital Corporation
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Evanston, Wyoming
NPI 1255304051

Evanston Hospital Corporation is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Evanston, WY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Evanston Hospital Corporation practices in Evanston, WY. The NPI Number for Evanston Hospital Corporation is 1255304051 and holds a License No. 06-102 (Wyoming).

The current practice location address for Evanston Hospital Corporation is 112 Yellow Creek Rd, Evanston, WY and can be reached out via phone at 307-789-3636. You can also correspond with Evanston Hospital Corporation through the mailing address at 190 ARROWHEAD DR, EVANSTON, WY - 82930-9266 (mailing address contact number: 307-789-3636).

Location: 112 Yellow Creek Rd, Evanston, WY, 82930-9266
institution
Provider Profile Details
NPI Number
1255304051
Provider Name
Evanston Hospital Corporation
Credential
Provider Entity Type
Organization
Address
112 Yellow Creek Rd, Evanston, WY, 82930-9266
Phone Number
307-789-3636
Fax Number
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114835407 05 WY
institution
Provider Business Practice Location Address Details
Address
112 Yellow Creek Rd
City
State
Zip
82930-9266
Phone Number
307-789-3636
Fax Number
person
Provider Business Mailing Address Details
Address
112 Yellow Creek Rd
City
State
Zip
82930-9266
Phone Number
307-789-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
06-102 (Wyoming)
Definition
Definition to come...
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