OrganizationActive
Wyoming State Hospital
NPI 1104811256 · Chronic Disease Hospital · Evanston, WY
Wyoming State Hospital is a Chronic Disease Hospital organization in Evanston, WY (NPI 1104811256).
Provider details
- NPI number
- 1104811256
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- Pablo Hernandez, Superintendent(307) 789-3464
- License
- 52-01138 (WY)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
831 Highway 150 S
Pharmacy Rm 519
Evanston, WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-3660
Street-level locationGet directions
Mailing address
831 Highway 150 S
Evanston, WY 82930-5340
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Wyoming State Hospital's NPI number?
- Wyoming State Hospital's National Provider Identifier (NPI) is 1104811256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wyoming State Hospital?
- Wyoming State Hospital is classified in the NPPES registry as Chronic Disease Hospital (Hospitals).
- Where is Wyoming State Hospital located?
- Wyoming State Hospital's practice location on file with NPPES is 831 Highway 150 S, Evanston, WY 82930-5340.
- What is Wyoming State Hospital's phone number?
- The practice phone number listed in the NPPES registry for Wyoming State Hospital is (307) 789-3464.
- Who is the authorized official for Wyoming State Hospital?
- The authorized official listed on Wyoming State Hospital's NPPES record is Pablo Hernandez, Superintendent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wyoming State Hospital's NPI active?
- Yes — Wyoming State Hospital's NPI (1104811256) is active in the NPPES registry as of the last update on 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.