NPIMap

Organization Active NPI

Wind River Family and Community Health Care

  • Federal Public Health Clinic/Center
  • Ethete, WY
National Provider Identifier
1447710843
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
WIND RIVER FAMILY AND COMMUNITY HEALTH CARE
Practice address
707 Blue Sky Hwy
Ethete, WY 82520-8252
Phone
(307) 335-4698
Fax
(307) 335-1038
NPI assigned
Mar 21, 2019
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WIND RIVER FAMILY & COMMUNITY HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Kerrie Minick
Title
Business Administrator
Phone
(307) 856-9281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Federal Public Health Clinic/Center 261QP0904X NU Primary

Addresses

Primary practice location

707 Blue Sky Hwy
Ethete, WY 82520-8252

Mailing address

PO Box 1310
Riverton, WY 82501-0158
Phone (307) 856-9281

National Provider Directory

National Provider Directory
Tax ID family
Wind River Family and Community Health Pharmacy5 organizations share this tax ID, including this one
Part of
Wind River Family and Community Health Pharmacy

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1447710843",
    "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 HWY",
            "city": "ETHETE",
            "state": "WY",
            "postal_code": "825208252",
            "telephone_number": "307-335-4698",
            "fax_number": "307-335-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER FAMILY AND COMMUNITY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIND RIVER FAMILY & COMMUNITY HEALTH CARE",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ethete, WY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.