Organization
INDIAN HEALTH SERVICE
Active
Other names
Wind River Service Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA ANN RAMIREZ (MEDICAL RECORDS SUPERVISOR)
(307) 332-7300
Entity
Organization
Contact information
Practice address
BLDG. 29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
(307) 332-3931
Mailing address
29 BLACK COAL DRIVE, P.O. BOX 128, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
(307) 332-3931
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6740A
WY
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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