Organization
WIND RIVER FAMILY & COMMUNITY HEALTH CARE
Active
Parent organization
WIND RIVER FAMILY & COMMUNITY HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIND RIVER FAMILY & COMMUNITY HEALTH CARE
Authorized official
TILINA ROBINSON (CREDENTIALING SPECIALIST)
(307) 857-9486
Entity
Organization
Contact information
Practice address
10266 HWY 789, ARAPAHOE, WY 82510
(307) 463-4181
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(307) 856-9281
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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