Wind River Family & Community Health Care - Dialysis Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER

Practice address

909 W Main St
Riverton, WY 82501-3228

Phone

(307) 856-9281

NPI assigned

Apr 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard B Brannan

Title

Ceo

Phone

(307) 856-9281

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073254595. Details of each certification follow.

• CCN 532509 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 532509

Legal name

Wind River Family and Community Health Care - Dialysis Center

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Feb 19, 2026

Last certification

Feb 19, 2026

Facility address

909 W Main St
Riverton, WY 82501

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaylyn Nicole Willow, CSW

  • Social Worker
  • Riverton, WY
  • NPI 1023853413
  NPD
• Sharmaine Loveli Weed

  • Peer Specialist
  • Riverton, WY
  • NPI 1295693349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1073254595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010158",
            "telephone_number": "307-856-9281",
            "fax_number": "307-463-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013228",
            "telephone_number": "307-856-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "BRANNAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-856-9281"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylyn Nicole Willow, CSW
• Charles Emmons Wilson, MA LMFT
• William Carrel Wilson, DVM
• Wind River Cares Riverton
• Wind River Family & Community Health Care
• Wind River Health System, Inc (Riverton Community Health Center)
• Wind River Obstetrics and Gynecology LLC
• Wind River Pathology, LLC
• Wind River Pediatrics, LLC
• Wind River Podiatric Medicine and Surgery, PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Riverton, WY
• Providers in Riverton, WY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.