Wind River Health Systems, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WIND RIVER HEALTH SYSTEMS, INC.

Doing business as

Dubois Medical Clinic

Practice address

5647 US Hwy 26
Dubois Medical Clinic
Dubois, WY 82513-3809

Phone

(307) 455-2516

Fax

(307) 455-2526

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Donna Karen Andersen

Title

Business Development Coordinator

Phone

(307) 857-6685

Specialties & licenses 1

Addresses

Other names 1

• Dubois Medical Clinic Doing business as

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1932422375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N. 12TH ST E",
            "address_2": "WIND RIVER HEALTH SYSTEMS, INC.",
            "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",
            "address_2": "DUBOIS MEDICAL CLINIC",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825133809",
            "telephone_number": "307-455-2516",
            "fax_number": "307-455-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT COORDINATOR",
        "authorized_official_telephone_number": "307-857-6685"
    },
    "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": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Schueneman, M.S., CCC-SLP
• Whiskey Mountain Dental
• Penelope Wilke, R.N.
• William Lemke Physical Therapy P.C.
• Wind River Health Systems
• 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.