Wind River Family & Community Health Care

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WIND RIVER FAMILY & COMMUNITY HEALTH CARE

Practice address

707 Blue Sky Highway
Ethete, WY 82520

Phone

(307) 855-2751

Fax

(307) 335-1038

NPI assigned

Mar 22, 2019

Organization subpart

Yes

Parent organization

WIND RIVER FAMILY & COMMUNITY HEALTH CAREAs reported in NPPES

Name

Kerrie Minick

Title

Business Administrator

Phone

(307) 856-9281

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

• Wind River Cares Riverton

  • Federal Public Health Clinic/Center
  • Riverton, WY
  • NPI 1699292391
  NPD tax ID
• Wind River Family & Community Health Care

  • Federal Public Health Clinic/Center
  • Riverton, WY
  • NPI 1285193060
  NPD tax ID
• Wind River Family and Community Health Care

  • Federal Public Health Clinic/Center
  • Ethete, WY
  • NPI 1447710843
  NPD tax ID
• Wind River Family and Community Health Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Arapaho, WY
  • NPI 1528424611
  NPD tax ID

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

CLIA laboratory certificates

Tax ID family

Wind River Family Communit (5 organizations share this tax ID)

Part of

Wind River Family Communit

• Wind River Cares - Ethete Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2024.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1346700622",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BLUE SKY HIGHWAY",
            "city": "ETHETE",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "307-855-2751",
            "fax_number": "307-335-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER FAMILY & COMMUNITY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIND RIVER FAMILY & COMMUNITY HEALTH CARE",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MINICK",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "307-856-9281"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154097100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wind River Cares - Ethete",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wind River Cares - Ethete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kreager, RDN, LD, CDE
• Northern Arapaho Tribal Health Programs
• Northern Arapaho Tribal Health Programs
• Saundra Suzanne Siebersma, PPC
• Nicholas Ryan Valoff, RN
• Wind River Family and Community Health Care

• All providers in Ethete, WY
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.