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
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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