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Wyoming State Hospital — NPI 1104811256, Evanston, WY | NPI Central

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Wyoming State Hospital

NPI 1104811256 · Chronic Disease Hospital · Evanston, WY

Provider details

NPI number: 1104811256
Entity type: Organization
Primary specialty: Chronic Disease HospitalHospitals
Authorized official: Pablo Hernandez, Superintendent
License: 52-01138 (WY)

Practice location

831 Highway 150 S

Pharmacy Rm 519

Evanston, WY 82930-5340

Phone: (307) 789-3464

Fax: (307) 789-3660

More WY providers

Mailing address

831 Highway 150 S

Evanston, WY 82930-5340

Registry dates

Enumerated: 2005-09-14
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.