OrganizationActive
Mountain Regional Services, Inc
NPI 1013337880 · Skilled Nursing Facility · Evanston, WY
Provider details
- NPI number
- 1013337880
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Iwen, Controller(307) 789-3710
- License
- 32521 (WY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 Allegiance Cir
Evanston, WY 82930-3804
Phone: (307) 778-9371
Fax: (307) 789-0823
Street-level locationGet directions
Mailing address
Po Box 6005
Evanston, WY 82931-6005
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2014-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.