Wind River Health System, INC

NPI #1942490891 in Riverton, Wyoming

Provider Information

NPI Number: 1942490891
Entity Type: Organization
Organization Name: Wind River Health System, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 26, 2007
Last Updated: Mar 14, 2011

Practice Location

Address: 511 N 12TH ST E
Address 2: SUITE B
City: Riverton
State: Wyoming
ZIP Code: 82501-3809
Phone: (307) 857-6685

Authorized Official

Name: DOLORES ANN JIMERSON, MSW, LCSW
Title: CEO
Phone: (307) 857-6685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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