Phs Indian Health Service
NPI #1922320910 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1922320910
- Entity Type
- Organization
- Organization Name
- Phs Indian Health Service
- Primary Specialty
- Clinic/Center - Public Health, Federal
- Enumeration Date
- Feb 18, 2010
- Last Updated
- Feb 18, 2010
Practice Location
- Address
- 29 BLACK COAL DRIVE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0128
- Phone
- (307) 332-7300
Authorized Official
- Name
- MRS. TARA ROBINSON
- Title
- CREDENTIALING COORDINATOR
- Phone
- (307) 335-5964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, Federal — Public Health, Federal |
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