Northern Arapaho Tribal Health Programs

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHERN ARAPAHO TRIBAL HEALTH PROGRAMS

Practice address

643 Blue Sky Highway
Ethete, WY 82520-0000

Phone

(307) 332-6836

Fax

(307) 335-7274

NPI assigned

Feb 7, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew A Whitehurst, RN-RAC

Title

CHR Superviser Program Administrat

Phone

(307) 332-6836

Specialties & licenses 1

Addresses

Tax ID family

Northern Arapaho Tribal Health Programs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Arapaho Tribal Health Programs

  • Case Management Agency
  • Ethete, WY
  • NPI 1508148958
  NPD tax ID
• White Buffalo Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arapahoe, WY
  • NPI 1902213093
  NPD tax ID

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1144768409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140860",
            "telephone_number": "307-332-6836",
            "fax_number": "307-335-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 BLUE SKY HIGHWAY",
            "city": "ETHETE",
            "state": "WY",
            "postal_code": "825200000",
            "telephone_number": "307-332-6836",
            "fax_number": "307-335-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARAPAHO TRIBAL HEALTH PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "WHITEHURST",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHR SUPERVISER  PROGRAM ADMINISTRAT",
        "authorized_official_telephone_number": "307-332-6836",
        "authorized_official_credential": "RN-RAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia E Antelope, LPN
• Samuel David Cross, MD
• Susan Kreager, RDN, LD, CDE
• Northern Arapaho Tribal Health Programs
• Saundra Suzanne Siebersma, PPC
• Nicholas Ryan Valoff, RN
• Wind River Family & Community Health Care (Wind River Cares - Ethete)
• Wind River Family and Community Health Care

• Case Management Agency in Ethete, WY
• Providers in Ethete, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.