| Wind River Health System, Inc | |
|
511 N 12th St E Suite B Riverton WY 82501-3809 | |
| (307) 857-6685 | |
| (307) 857-6420 |
| Full Name | Wind River Health System, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 511 N 12th St E, Riverton, Wyoming |
| Authorized Official Name and Position | Dolores Ann Jimerson (CEO) |
| Authorized Official Contact | 3078576685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Health System, Inc 511 N 12th St E Suite B Riverton WY 82501-3809 Ph: (307) 857-6685 | Wind River Health System, Inc 511 N 12th St E Suite B Riverton WY 82501-3809 Ph: (307) 857-6685 |
| NPI Number | 1942490891 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942490891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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