Organization
SHOSHONE TRIBE
Active
Parent organization
EASTERN SHOSHONE TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN SHOSHONE TRIBE
Authorized official
MR. DAVID MEYERS BS (DIRECTOR)
(307) 332-6805
Entity
Organization
Contact information
Practice address
15230 US HWY 287, FORT WASHAKIE, WY 82514-0250
(307) 332-6805
(307) 332-0458
Mailing address
PO BOX 250, FORT WASHAKIE, WY 82514-0250
(307) 332-6805
(307) 332-0458
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/20/2026
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