NPI 1558425207
Shoshone Tribe Early Intervention Program
Practice location
- Address
- 90 Ethete Road, Fort Washakie, WY 82514-0610
- Phone
- (307) 332-3516
- Fax
- (307) 332-9116
- Mailing address
- PO Box 610, Fort Washakie, WY 82514-0610
Authorised official
- Name
- Joseph J Smith
- Title
- Finance Manager
- Phone
- (307) 332-3516
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1558425207
- Entity type
- Organization
- NPI issued
- 20 Dec 2006
- Record last updated
- 22 Aug 2020
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.