Wind River Family And Community Health Care | |
707 Blue Sky Hwy Ethete WY 82520-8252 | |
(307) 335-4698 | |
(307) 335-1038 |
Full Name | Wind River Family And Community Health Care |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 707 Blue Sky Hwy, Ethete, Wyoming |
Authorized Official Name and Position | Kerrie Minick (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 3078569281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wind River Family And Community Health Care Po Box 1310 Riverton WY 82501-0158 Ph: (307) 856-9281 | Wind River Family And Community Health Care 707 Blue Sky Hwy Ethete WY 82520-8252 Ph: (307) 335-4698 |
NPI Number | 1447710843 |
---|---|
Provider Enumeration Date | 03/21/2019 |
Last Update Date | 03/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447710843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |