NPIMap

Organization Active NPI

Early Intervention Program

  • Developmentally Disabled Services Day Training Agency
  • Fort Washakie, WY
National Provider Identifier
1982933065
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EARLY INTERVENTION PROGRAM
Practice address
9 Fort Washakie School Rd
Fort Washakie, WY 82514-9601
Phone
(307) 332-3516
Fax
(307) 332-9116
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Mr. Joseph J. Smith Jr.
Title
Business Manager
Phone
(307) 332-3516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

9 Fort Washakie School Rd
Fort Washakie, WY 82514-9601

Mailing address

9 Fort Washakie School Rd
Fort Washakie, WY 82514-9601
Phone (307) 332-3516

National Provider Directory

National Provider Directory
Tax ID family
Shoshone Tribe Early Intervention Program8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1982933065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FORT WASHAKIE SCHOOL RD",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825149601",
            "telephone_number": "307-332-3516",
            "fax_number": "307-332-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FORT WASHAKIE SCHOOL RD",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825149601",
            "telephone_number": "307-332-3516",
            "fax_number": "307-332-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "307-332-3516",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "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 Dec 18, 2009; 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.