Shoshone Tribe
NPI #1790824530 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1790824530
- Entity Type
- Organization
- Organization Name
- Shoshone Tribe
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 11 SHIPTON LANE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514
- Phone
- (307) 332-2998
Authorized Official
- Name
- MS. DIANE GARCIA, RN, BSN, CNN
- Title
- CEO, NURSE MANAGER
- Phone
- (307) 332-2998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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