Organization
WIND RIVER HEALTH SYSTEMS
Active
Parent organization
WIND RIVER HEALTH SYSTEMS, INC.
Other names
Dubois Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIND RIVER HEALTH SYSTEMS, INC.
Authorized official
CATHERINE E KEENE CPA, MBA (CHIEF EXECUTIVE OFFICER)
(307) 857-6685
Entity
Organization
Contact information
Practice address
5647 US HWY 26, DUBOIS, WY 82513-0577
(307) 455-2516
(307) 455-2526
Mailing address
511 N. 12TH ST. E, RIVERTON, WY 82501-3809
(307) 857-6685
(307) 857-9927
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
03/11/2010
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