Northern Arapaho Tribal Health Programs

Organization Active NPI Case Management Agency · Ethete, WY

NPI 1144768409 · NPPES record last updated Feb 10, 2017

Key facts

NPI
1144768409
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 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
Organization subpart
No

Authorized official

Name
Matthew A Whitehurst, RN-RAC
Title
CHR Superviser Program Administrat
Phone
(307) 332-6836

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
Northern Arapaho Tribal Health Programs (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WY Yes

Addresses

Primary practice location

643 Blue Sky Highway
Ethete, WY 82520-0000

Mailing address

PO Box 860
Fort Washakie, WY 82514-0860
Phone (307) 332-6836

Other providers in Ethete, WY

All providers in Ethete, WY · Case Management Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.