NPIMap

Indian Health Service

Organization Active NPI Federally Qualified Health Center (FQHC) · Fort Washakie, WY

NPI 1770518532 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1770518532
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
6740A (WY)
Legal business name
INDIAN HEALTH SERVICE
Practice address
BLDG. 29 Black Coal Drive
Fort Washakie, WY 82514-0128
Phone
(307) 332-7300
Fax
(307) 332-3931
NPI assigned
Jul 11, 2006
Organization subpart
No

Authorized official

Name
Mrs. Gina Ann Ramirez
Title
Medical Records Supervisor
Phone
(307) 332-7300

Corporate family (same tax ID) 25

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

Practitioners 1

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

National Provider Directory

Tax ID family
Heart Butte Health Station Pharmacy (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 6740A WY Yes

Addresses

Primary practice location

BLDG. 29 Black Coal Drive
Fort Washakie, WY 82514-0128

Mailing address

29 Black Coal Drive
P.O. Box 128
Fort Washakie, WY 82514-0128
Phone (307) 332-7300

Other names

  • Wind River Service Unit Other name

Other providers in Fort Washakie, WY

All providers in Fort Washakie, WY · Federally Qualified Health Center (FQHC) in Wyoming

Sources for this page

Verify at the official NPI Registry.