NPIMap

Organization Active NPI

Indian Health Service

  • Federally Qualified Health Center (FQHC)
  • Fort Washakie, WY
National Provider Identifier
1770518532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
6740A Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Wind River Service Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Blackfeet Community Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770518532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BLACK COAL DRIVE",
            "address_2": "P.O. BOX 128",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140128",
            "telephone_number": "307-332-7300",
            "fax_number": "307-332-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 29 BLACK COAL DRIVE",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140128",
            "telephone_number": "307-332-7300",
            "fax_number": "307-332-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL RECORDS SUPERVISOR",
        "authorized_official_telephone_number": "307-332-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WY",
            "license": "6740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wind River Service Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Washakie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.