NPI 1023174299

US Health Dept of Health & Human Services

Organisation Federal Public Health Clinic/Center Fort Washakie, WY

Practice location

Address: Black Coal Drive, #29, Fort Washakie, WY 82514-0128
Phone: (307) 332-7300
Fax: (307) 332-7464
Mailing address: P.O. Box 128 29 Black Coal Drive, Fort Washakie, WY 82514-0128

Authorised official

Name: Michelle Antone
Title: Acting Ceo/Administrative Officer
Phone: (307) 332-7300

Registered specialties

Federal Public Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP0904X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1023174299
Entity type: Organization
NPI issued: 29 Dec 2006
Record last updated: 24 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.