Indian Health Service
NPI #1770518532 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1770518532
- Entity Type
- Organization
- Organization Name
- Indian Health Service
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- BLDG. 29 BLACK COAL DRIVE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0128
- Phone
- (307) 332-7300
Authorized Official
- Name
- MRS. GINA ANN RAMIREZ
- Title
- MEDICAL RECORDS SUPERVISOR
- Phone
- (307) 332-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| University of Wyoming | |
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| Community Health Center of Central Wyoming, Inc. |
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