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institution
State Of Wyoming
Psychiatric Hospital in Evanston, Wyoming
NPI 1316011562

State Of Wyoming is a Psychiatric Hospital based in Evanston, WY. State Of Wyoming practices in Evanston, WY. The NPI Number for State Of Wyoming is 1316011562 and holds a License No. 15163 (Wyoming).

The current practice location address for State Of Wyoming is 251 Yellowstone River Dr, Evanston, WY and can be reached out via phone at 307-444-0839 and via fax at 307-789-7373.

Location: 251 Yellowstone River Dr, Evanston, WY, 82931-0177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316011562
Provider Name
State Of Wyoming
Credential
Provider Entity Type
Organization
Address
251 Yellowstone River Dr, Evanston, WY, 82931-0177
Phone Number
307-444-0839
Fax Number
307-789-7373
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316011562 01 WY NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
251 Yellowstone River Dr
City
Evanston
State
Wyoming
Zip
82930-5340
Phone Number
307-444-0839
Fax Number
307-789-7373
person
Provider Business Mailing Address Details
Address
251 Yellowstone River Dr
City
Evanston
State
Wyoming
Zip
82930-5340
Phone Number
307-444-0839
Fax Number
307-789-7373
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
15163 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
15163 (Wyoming)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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