Organization
NORTHERN ARAPAHO TRIBAL HEALTH PROGRAMS
Active
Other names
Northern Arapaho Tribal WIC/IMP/HV/ATR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW WHITEHURST RN-RAC (PROGRAM ADMINISTRATOR CHR SUPERVISE)
(307) 332-6836
Entity
Organization
Contact information
Practice address
643 BLUE SKY HIGHWAY, ETHETE, WY 82520
(307) 332-6836
(307) 335-7274
Mailing address
P.O. BOX 860, FT. WASHAKIE WY, WY 82514-0860
(307) 332-6836
(307) 335-7274
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
02/13/2017
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