Evanston Hospital Corporation
NPI 1255304051 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Evanston, WY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evanston Hospital Corporation is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Evanston, WY (NPI 1255304051).
Provider details
- NPI number
- 1255304051
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Evanston Hospital Corporation
- Organization subpart
- Yes
- Authorized official
- Randy Cooper, Svp Finance Operations/Ao(615) 221-3840
- License
- 06-102 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Evanston Dialysis Center
- Doing business as
- Evanston Dialysis Center
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Frequently asked questions
- What is Evanston Hospital Corporation's NPI number?
- Evanston Hospital Corporation's National Provider Identifier (NPI) is 1255304051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evanston Hospital Corporation?
- Evanston Hospital Corporation is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evanston Hospital Corporation located?
- Evanston Hospital Corporation's practice location on file with NPPES is 112 Yellow Creek Rd, Evanston, WY 82930-9266.
- What is Evanston Hospital Corporation's phone number?
- The practice phone number listed in the NPPES registry for Evanston Hospital Corporation is (307) 789-3636.
- Does Evanston Hospital Corporation accept Medicare?
- Evanston Hospital Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evanston Hospital Corporation?
- The authorized official listed on Evanston Hospital Corporation's NPPES record is Randy Cooper, Svp Finance Operations/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evanston Hospital Corporation's NPI active?
- Yes — Evanston Hospital Corporation's NPI (1255304051) is active in the NPPES registry as of the last update on 2020-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.