Organization
WIND RIVER FAMILY AND 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
KERRIE MINICK (BUSINESS ADMINISTRATOR)
(307) 856-9281
Entity
Organization
Contact information
Practice address
707 BLUE SKY HWY, ETHETE, WY 82520-8252
(307) 335-4698
(307) 335-1038
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)
—
—
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
05/03/2024
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