Wind River Family & Community Health Care

NPI #1376004663 in Arapahoe, Wyoming

Provider Information

NPI Number
1376004663
Entity Type
Organization
Organization Name
Wind River Family & Community Health Care
Subpart
Yes (part of a larger organization)
Parent Organization
WIND RIVER FAMILY & COMMUNITY HEALTH CARE
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 28, 2019
Last Updated
Mar 28, 2019

Practice Location

Address
10266 HWY 789
State
Wyoming
ZIP Code
82510
Phone
(307) 463-4181

Authorized Official

Name
TILINA ROBINSON
Title
CREDENTIALING SPECIALIST
Phone
(307) 857-9486

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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