| Phs Indian Health Service | |
|
29 Black Coal Drive Fort Washakie WY 82514-0128 | |
| (307) 332-7300 | |
| (307) 332-5753 |
| Full Name | Phs Indian Health Service |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 29 Black Coal Drive, Fort Washakie, Wyoming |
| Authorized Official Name and Position | Tara Robinson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3073355964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phs Indian Health Service Po Box 128 Fort Washakie WY 82514-0128 Ph: (307) 332-7300 | Phs Indian Health Service 29 Black Coal Drive Fort Washakie WY 82514-0128 Ph: (307) 332-7300 |
| NPI Number | 1922320910 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922320910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | 19751 (Wyoming) | Primary |
Us Health Dept Of Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Black Coal Drive, #29, Fort Washakie, WY 82514 Phone: 307-332-7300 Fax: 307-332-7464 | |
Wind River Service Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300 Fax: 307-332-3931 | |
Wind River Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-0446 Fax: 307-332-0131 |