# EVANSTON HOSPITAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridger Valley Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134666944
- **Authorized official:** LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
- **Authorized official phone:** (615) 221-3641

## Contact information

- **Practice address:** 107 N MAIN STREET, LYMAN, WY 82937-0001
- **Practice address phone:** (307) 787-3313
- **Practice address fax:** (307) 787-3312
- **Mailing address:** 107 N MAIN STREET, LYMAN, WY 82937-0001
- **Mailing address phone:** (307) 787-3313
- **Mailing address fax:** (307) 787-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 15107 | WY | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 07/07/2023