| Wind River Service Unit | |
|
Bldg. 29 Black Coal Drive Fort Washakie WY 82514-0128 | |
| (307) 332-7300 | |
| (307) 332-3931 |
| Full Name | Wind River Service Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Bldg. 29 Black Coal Drive, Fort Washakie, Wyoming |
| Authorized Official Name and Position | Gina Ann Ramirez (MEDICAL RECORDS SUPERVISOR) |
| Authorized Official Contact | 3073327300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Service Unit 29 Black Coal Drive P.o. Box 128 Fort Washakie WY 82514-0128 Ph: (307) 332-7300 | Wind River Service Unit Bldg. 29 Black Coal Drive Fort Washakie WY 82514-0128 Ph: (307) 332-7300 |
| NPI Number | 1770518532 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770518532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6740A (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 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 | |
Phs Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300 Fax: 307-332-5753 |