NPIMap

Organization Active NPI

Wind River Cares Riverton

  • Federal Public Health Clinic/Center
  • Riverton, WY
National Provider Identifier
1699292391
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 CARES RIVERTON
Practice address
511 North 12 Street East
Riverton, WY 82501
Phone
(307) 463-4610
Fax
(307) 856-1630
NPI assigned
Aug 24, 2017
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
Richard B Brannan
Title
Ceo
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

511 North 12 Street East
Riverton, WY 82501

Mailing address

PO Box 1310
Riverton, WY 82501
Phone (307) 349-0868

Other identifiers 1

IdentifierTypeStateIssuer
142138700MedicaidWY

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1699292391",
    "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": "82501",
            "telephone_number": "307-349-0868",
            "fax_number": "307-856-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NORTH 12 STREET EAST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "307-463-4610",
            "fax_number": "307-856-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER CARES RIVERTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIND RIVER FAMILY & COMMUNITY HEALTH CARE",
        "enumeration_date": "2017-08-24",
        "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": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142138700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, 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.