Eastern Shoshone Tribal Health

NPI #1902240070 in Fort Washakie, Wyoming

Provider Information

NPI Number: 1902240070
Entity Type: Organization
Organization Name: Eastern Shoshone Tribal Health
Subpart: Yes (part of a larger organization)
Parent Organization: EASTERN SHOSHONE TRIBE
Primary Specialty: Clinic/Center - Public Health, Federal
Enumeration Date: Apr 19, 2013
Last Updated: Feb 7, 2024

Practice Location

Address: 15230 US HWY 287
City: Fort Washakie
State: Wyoming
ZIP Code: 82514-0250
Phone: (307) 332-6805

Authorized Official

Name: MR. DAVID MEYERS, BS
Title: DIRECTOR
Phone: (307) 332-6805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Nursing Care	251J00000X
Public Health or Welfare	251K00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X	Primary

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