NPI 1326206616

Wind River Service Unit Ihs

Organisation Health Service Clinic/Center Fort Washakie, WY

Practice location

Address: 29 Black Coal Dr, Fort Washakie, WY 82514-0000
Phone: (307) 332-7300
Fax: (307) 332-9446
Mailing address: PO Box 128, Fort Washakie, WY 82514-0128

Authorised official

Name: Trina Rene' Nation
Title: Nurse Specialist
Phone: (307) 332-7300

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 9336 (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1326206616
Entity type: Organization
NPI issued: 23 May 2008
Record last updated: 23 May 2008

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.