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Evanston Hospital Corporation
Medicare Defined Swing Bed Hospital Unit in Evanston, Wyoming
NPI 1356313506

Evanston Hospital Corporation is a Medicare Defined Swing Bed Hospital Unit based in San Francisco, WY. Evanston Hospital Corporation practices in Evanston, WY. The NPI Number for Evanston Hospital Corporation is 1356313506 and holds a License No. 06-165 (Wyoming).

The current practice location address for Evanston Hospital Corporation is 190 Arrowhead Dr, Evanston, WY and can be reached out via phone at 307-789-3636 and via fax at 307-783-8167.

Location: 190 Arrowhead Dr, Evanston, WY, 94160-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356313506
Provider Name
Evanston Hospital Corporation
Credential
Provider Entity Type
Organization
Address
190 Arrowhead Dr, Evanston, WY, 94160-0001
Phone Number
307-789-3636
Fax Number
307-783-8167
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41376 01 BCBS
114835406 05 WY
institution
Provider Business Practice Location Address Details
Address
190 Arrowhead Dr
City
Evanston
State
Wyoming
Zip
82930-9266
Phone Number
307-789-3636
Fax Number
307-783-8167
person
Provider Business Mailing Address Details
Address
190 Arrowhead Dr
City
Evanston
State
Wyoming
Zip
82930-9266
Phone Number
307-789-3636
Fax Number
307-783-8167
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
06-165 (Wyoming)
Definition
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.
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