Organization
WIND RIVER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JO NOT AFRAID (CFO)
(307) 335-5941
Entity
Organization
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514-0128
(307) 332-0446
(307) 332-0131
Mailing address
PO BOX 28, 29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0128
(307) 332-0446
(307) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19363
WY
Other
Enumeration date
02/19/2010
Last updated
10/26/2018
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