Wind River Health Systems

NPI #1700964699 in Dubois, Wyoming

Provider Information

NPI Number
1700964699
Entity Type
Organization
Organization Name
Wind River Health Systems
Subpart
Yes (part of a larger organization)
Parent Organization
WIND RIVER HEALTH SYSTEMS, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 1, 2006
Last Updated
Mar 11, 2010

Practice Location

Address
5647 US HWY 26
City
Dubois
State
Wyoming
ZIP Code
82513-0577
Phone
(307) 455-2516

Authorized Official

Name
CATHERINE E KEENE, CPA, MBA
Title
CHIEF EXECUTIVE OFFICER
Phone
(307) 857-6685

Specialties & Taxonomy Codes

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

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