WYOMING STATE HOSPITAL
NPI 1104811256
Chronic Disease Hospital in Evanston, WY

Q: What is Wyoming State Hospital's NPI number?

The NPI number for Wyoming State Hospital is 1104811256. It was assigned to this organization in the NPPES registry on September 14, 2005.

Q: What is Wyoming State Hospital's specialty?

The primary specialty registered for this NPI is Chronic Disease Hospital with taxonomy code 281P00000X.

Active since September 14, 2005

831 HIGHWAY 150 S, PHARMACY RM 519, EVANSTON, WY 82930(307) 789-3464(307) 789-3660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wyoming State Hospital NPPES

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

WYOMING STATE HOSPITAL (NPI 1104811256) is a healthcare organization registered as a chronic disease hospital in Evanston, Wyoming and active in the NPI registry since September 2005. The organization lists Pablo Hernandez, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1104811256

Entity TypeOrganization

Primary Taxonomy281P00000X

Legal Business NameWYOMING STATE HOSPITAL

Location Address831 HIGHWAY 150 S, PHARMACY RM 519Evanston, WY 82930-5340

Mailing Address831 Highway 150 S, Po Box 177Evanston, WY 82930-5340 · (307) 789-3464 · Fax (307) 789-3660

Phone(307) 789-3464

Fax(307) 789-3660

Organization SubpartNo

Authorized OfficialPablo HernandezSuperintendent · (307) 789-3464

Enumeration DateSeptember 14, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104811256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChronic Disease HospitalHospitals

Taxonomy Code281P00000X

License✔ Licensed in WY · 52-01138

Definition

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.

831 HIGHWAY 150 S, Evanston, WY 82930

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PATRICK FLEENOR ANP

Clinical Nurse Specialist (Psychiatric/Mental Health)