Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyoming State Hospital

Organization Chronic Disease Hospital · NPI 1104811256

Wyoming State Hospital is a Chronic Disease Hospital in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2005.

Licensed in
WY
In the registry since
2005

Practice location Address checks out

831 Highway 150 S Pharmacy Rm 519
Evanston, WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-3660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chronic Disease Hospital (primary) Taxonomy 281P00000X · Licence 52-01138 (WY)

Record details

NPI number1104811256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pablo Hernandez — Superintendent · (307) 789-3464
NPI enumeratedSeptember 14, 2005
Last updated in NPPESAugust 22, 2020
Mailing address831 Highway 150 S, Po Box 177, Evanston, WY 82930-5340