Wind River Health System, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WIND RIVER HEALTH SYSTEM, INC

Doing business as

Riverton Community Health Center

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

Last updated

Mar 14, 2011By the provider in NPPES

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, LCSWNPI 1306090972

Title

Ceo

Phone

(307) 857-6685

Specialties & licenses 1

Addresses

Other names 1

• Riverton Community Health Center Doing business as

Locations

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.

• Dolores Ann Jimerson, LCSW

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1306090972
  Authorized official Same address or phone

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 (Wind River Rehabilitation and Wellness)

• 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.