Organization
WIND RIVER CARES RIVERTON
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
RICHARD B BRANNAN (CEO)
(307) 856-9281
Entity
Organization
Contact information
Practice address
511 NORTH 12 STREET EAST, RIVERTON, WY 82501
(307) 463-4610
(307) 856-1630
Mailing address
PO BOX 1310, RIVERTON, WY 82501
(307) 349-0868
(307) 856-1630
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142138700
—
WY
Enumeration date
08/24/2017
Last updated
05/03/2024
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