| Wind River Health Systems, Inc. | |
|
5647 Us Hwy 26 Dubois Medical Clinic Dubois WY 82513-3809 | |
| (307) 455-2516 | |
| (307) 455-2526 |
| Full Name | Wind River Health Systems, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5647 Us Hwy 26, Dubois, Wyoming |
| Authorized Official Name and Position | Donna Karen Andersen (BUSINESS DEVELOPMENT COORDINATOR) |
| Authorized Official Contact | 3078576685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Health Systems, Inc. 511 N. 12th St E Wind River Health Systems, Inc. Riverton WY 82501-3809 Ph: (307) 857-6685 | Wind River Health Systems, Inc. 5647 Us Hwy 26 Dubois Medical Clinic Dubois WY 82513-3809 Ph: (307) 455-2516 |
| NPI Number | 1932422375 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932422375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Health Center Of Central Wyoming Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5647 Us Hwy 26, Dubois, WY 82513 Phone: 307-455-2516 Fax: 307-455-2526 | |
Wind River Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5647 Us Hwy 26, Dubois, WY 82513 Phone: 307-455-2516 Fax: 307-455-2526 |