Wind River Health System, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WIND RIVER HEALTH SYSTEM, INC

Practice address

511 N 12TH St E
Suite B
Riverton, WY 82501-3809

Phone

(307) 857-6685

Fax

(307) 857-6420

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dolores Ann Jimerson, MSW, LCSW

Title

Ceo

Phone

(307) 857-6685

Specialties & licenses 1

Addresses

Other names 1

• Riverton Community Health Center Doing business as

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1942490891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N 12TH ST E",
            "address_2": "SUITE B",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013809",
            "telephone_number": "307-857-6685",
            "fax_number": "307-857-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N 12TH ST E",
            "address_2": "SUITE B",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013809",
            "telephone_number": "307-857-6685",
            "fax_number": "307-857-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "JIMERSON",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-857-6685",
        "authorized_official_credential": "MSW, LCSW"
    },
    "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": "Riverton Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Emmons Wilson, MA LMFT
• William Carrel Wilson, DVM
• Wind River Cares Riverton
• Wind River Family & Community Health Care
• Wind River Family & Community Health Care - Dialysis Center
• Wind River Obstetrics and Gynecology LLC
• Wind River Pathology, LLC
• Wind River Pediatrics, LLC
• Wind River Podiatric Medicine and Surgery, PC
• Wind River SNF Operations, LLC

• Federally Qualified Health Center (FQHC) in Riverton, WY
• Providers in Riverton, 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 14, 2011; 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.