Organization
WIND RIVER HEALTH SYSTEM, INC
Active
Other names
Riverton Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES ANN JIMERSON MSW, LCSW (CEO)
(307) 857-6685
Entity
Organization
Contact information
Practice address
511 N 12TH ST E, SUITE B, RIVERTON, WY 82501-3809
(307) 857-6685
(307) 857-6420
Mailing address
511 N 12TH ST E, SUITE B, RIVERTON, WY 82501-3809
(307) 857-6685
(307) 857-6420
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
03/14/2011
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