Wind River Health Systems

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WIND RIVER HEALTH SYSTEMS

Practice address

5647 US Hwy 26
Dubois, WY 82513-0577

Phone

(307) 455-2516

Fax

(307) 455-2526

NPI assigned

Nov 1, 2006

Organization subpart

Yes

Parent organization

WIND RIVER HEALTH SYSTEMS, INC.As reported in NPPES

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

Authorized official

Name

Catherine E Keene, CPA, MBA

Title

Chief Executive Officer

Phone

(307) 857-6685

Specialties & licenses 1

Addresses

Other names 1

• Dubois Medical Clinic Other name

Part of

Wind River Health Systems

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolores Ann Jimerson, LCSW

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1306090972
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1700964699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N. 12TH ST. E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013809",
            "telephone_number": "307-857-6685",
            "fax_number": "307-857-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 US HWY 26",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825130577",
            "telephone_number": "307-455-2516",
            "fax_number": "307-455-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIND RIVER HEALTH SYSTEMS, INC.",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "307-857-6685",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubois Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trisha Rose, MSN RN FNP-BC
• Katrina Schueneman, M.S., CCC-SLP
• Whiskey Mountain Dental
• Penelope Wilke, R.N.
• William Lemke Physical Therapy P.C.
• Wind River Health Systems, Inc.
• Margaret A Zeiss, PT

• Federally Qualified Health Center (FQHC) in Dubois, WY
• Providers in Dubois, WY by specialty
• Federally Qualified Health Center (FQHC) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.