NPIMap

Organization Active NPI

Evanston Regional Hospital

  • Primary Care Clinic/Center
  • Mountain View, WY
National Provider Identifier
1780076364
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
33582.1375 Issued in WY
Legal business name
EVANSTON REGIONAL HOSPITAL
Practice address
531 Parkway Drive
Mountain View, WY 82939
Phone
(307) 782-7560
NPI assigned
Feb 19, 2015
Last updated
Feb 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Wiley
Title
Clinic Supervisor
Phone
(307) 789-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 33582.1375 WY Primary

Addresses

Primary practice location

531 Parkway Drive
Mountain View, WY 82939

Mailing address

531 Parkway Drive
Mountain View, WY 82939
Phone (307) 782-7560

National Provider Directory

National Provider Directory
Tax ID family
Bridger Valley Fmly Pra3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/8e23cb3a-f9cc-48e8-b3d7-1fbb669a3133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1780076364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PARKWAY DRIVE",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "82939",
            "telephone_number": "307-782-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 PARKWAY DRIVE",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "82939",
            "telephone_number": "307-782-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR",
        "authorized_official_telephone_number": "307-789-3636"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WY",
            "license": "33582.1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.