NPIMap

Evanston Hospital Corporation

A Medicare group practice based in Evanston, WY: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 7113900358), with 27 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113900358The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
NJ, WY
Enrollments
7
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 4 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040609001235 WY Part B Supplier - Clinic/Group Practice 1013288836
O20080310000218 WY Part A Provider - End-Stage Renal Disease Facility (ESRD) 1255304051
O20180823002979 NJ Part B Supplier - Clinic/Group Practice 1013288836
O20171229001328 WY Part A Provider - Rural Health Clinic 1427595271
O20171020001459 WY Part A Provider - Rural Health Clinic 1134666944
O20240829003125 WY Part A Provider - Critical Access Hospital 1639140015
O20250407002179 WY Part A Provider - Critical Access Hospital 1639140015

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 27

Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (15).

Sources for this page