NPIMap

Organization Active NPI

Wind River Health Center

  • Clinic/Center
  • Fort Washakie, WY
National Provider Identifier
1801118740
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
19363 Issued in WY
Legal business name
WIND RIVER HEALTH CENTER
Practice address
29 Black Coal Drive
Fort Washakie, WY 82514-0128
Phone
(307) 332-0446
Fax
(307) 332-0131
NPI assigned
Feb 19, 2010
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Kimberly Jo Not Afraid
Title
Cfo
Phone
(307) 335-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 19363 WY Primary

Addresses

Primary practice location

29 Black Coal Drive
Fort Washakie, WY 82514-0128

Mailing address

PO Box 28
29 Black Coal Dr
Fort Washakie, WY 82514-0128
Phone (307) 332-0446

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

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1801118740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "address_2": "29 BLACK COAL DR",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140128",
            "telephone_number": "307-332-0446",
            "fax_number": "307-332-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BLACK COAL DRIVE",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140128",
            "telephone_number": "307-332-0446",
            "fax_number": "307-332-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "NOT AFRAID",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-335-5941"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": "19363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2018; 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.