Evanston Hospital Corporation
Emergency Medicine in Evanston, WY. Organization (NPI-2).
NPI number1801832548
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1801832548
- Entity type
- Organization (NPI-2)
- Legal business name
- Evanston Hospital Corporation
- Organization subpart
- No
- Enumeration date
- Jun 21, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | WY | Yes |
Other names
- Evanston Regional Hosp - Er Dept (Doing Business As)
Practice location
190 Arrowhead DrEvanston, WY 82930-9266
Phone 307-783-8161 · Fax 307-783-8237
Mailing address
Po Box 60000File 0074044
San Francisco, CA 94160-0001
Phone 800-819-2547 · Fax 423-899-5295
Authorized official
Michael Portacci
President
6154657000
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