NPI 1770518532

Indian Health Service

Organisation Federally Qualified Health Center (FQHC) Fort Washakie, WY

Practice location

Address: Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514-0128
Phone: (307) 332-7300
Fax: (307) 332-3931
Mailing address: 29 Black Coal Drive P.O. Box 128, Fort Washakie, WY 82514-0128

Authorised official

Name: Gina Ann Ramirez
Title: Medical Records Supervisor
Phone: (307) 332-7300

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 6740A (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1770518532
Entity type: Organization
NPI issued: 11 Jul 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.