Healthcare Provider Details

I. General information

NPI: 1396742219
Provider Name (Legal Business Name): NORTH BIG HORN HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 YELLOW CREEK ROAD
EVANSTON WY
82930-5109
US

IV. Provider business mailing address

598 W 900 S STE 220
WOODS CROSS UT
84010-8195
US

V. Phone/Fax

Practice location:
  • Phone: 307-789-0726
  • Fax: 307-789-1438
Mailing address:
  • Phone: 801-397-4697
  • Fax: 801-296-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number07-200
License Number StateWY

VIII. Authorized Official

Name: ERIC SHUMWAY CONNELL
Title or Position: CEO
Credential:
Phone: 307-548-5203