EVANSTON CLINIC CORP
NPI 1013916519
Family Medicine in Evanston, WY

Active since July 18, 2005CLIA 53D0951953 · Waiver
196 ARROWHEAD DR STE 8, EVANSTON, WY 82930(307) 783-8365(307) 783-8284 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evanston Clinic Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANSTON CLINIC CORP (NPI 1013916519) is a healthcare organization registered as a family medicine in Evanston, Wyoming and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Laura J Fey, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1013916519
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVANSTON CLINIC CORP
Location Address196 ARROWHEAD DR STE 8Evanston, WY 82930-8752
Mailing AddressPo Box 5009Brentwood, TN 37024-5009 · (615) 221-1400 · Fax (615) 465-2984
Fax(307) 783-8284
Organization SubpartNo
Authorized OfficialLaura J FeyDirector Revenue Cycle · (615) 221-3641
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 4, 2019
NPI 1013916519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
196 ARROWHEAD DR STE 8, Evanston, WY 82930

Other Identifiers 2

Other06159001WY · Bcbs
Medicaid1013916519WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0951953

Evanston Clinic Corp Dba/ Uinta Family Practice · Evanston, WY
Active · expires Jul 15, 2027
CLIA Number53D0951953
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorRichard England
Laboratory Phone(307) 789-3636
Laboratory LocationEvanston Clinic Corp Dba/ Uinta Family Practice196 Arrowhead Drive, Ste #1, Evanston, WY 82930
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evanston Clinic Corp's NPI number?

The NPI number for Evanston Clinic Corp is 1013916519. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Evanston Clinic Corp located?

Evanston Clinic Corp is located at 196 Arrowhead Dr Ste 8, Evanston, WY 82930. The listed phone number is (307) 783-8365.

What is Evanston Clinic Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Evanston Clinic Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0951953) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evanston Clinic Corp accept?

Health plans from Blue Cross Blue Shield of Wyoming and University of Utah Health Plans list Evanston Clinic Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evanston Clinic Corp was last updated on March 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.