Organization
WIND RIVER FAMILY & COMMUNITY HEALTHC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B. BRANNAN (CEO)
(307) 856-9281
Entity
Organization
Contact information
Practice address
14 GREAT PLAINS ROAD, ARAPAHOE, WY 82510-0014
(307) 856-9281
(307) 316-0348
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(307) 856-9281
(307) 316-0348
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142138700
—
WY
Enumeration date
10/28/2015
Last updated
01/22/2025
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