WIND RIVER HEALTH CENTER (NPI# 1801118740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801118740 |
| Entity Type | Organization |
| Organization Name | WIND RIVER HEALTH CENTER |
| Practice Address |
29 Black Coal Drive Fort Washakie WY 82514-0128 |
| Mailing Address |
Po Box 28 29 Black Coal Dr Fort Washakie WY 82514-0128 |
| Practice Telephone | 3073320446 |
| Practice Fax Number | 3073320131 |
| Mailing Telephone | 3073320446 |
| Mailing Fax Number | 3073320131 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | KIMBERLY JO NOT AFRAID (CFO) |
| Authorized Official Telephone | 3073355941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 19363 | WY | Ambulatory Health Care Facilities |
| Street Address |
29 BLACK COAL DRIVE |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514-0128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097198 | Vanessa Sorrels | Pharmacist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2019-08-08 |
| 1730673823 | Darlene Lucy Kozlowski | Radiology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-06-21 |
| 1780171298 | Kyle Baker | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2018-04-19 |
| 1205235330 | David Thatch | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-08-14 |
| 1821414475 | Garth Nelson Foster | Physical Therapist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2014-03-06 |
| 1205260502 | Jeremy C Norton | Nurse Practitioner | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-08-23 |
| 1710224837 | Julie Ann Smith | Technician, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-01-09 |
| 1245501808 | Holly Ann Daverin | Dental Hygienist | 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 | 2012-01-13 |
| 1689963233 | Becky Bappe | Spec/Tech, Pathology | 29 Black Coal Drive, Fort Washakie Health Center Lab, Fort Washakie, WY 82514 | 2011-04-05 |
| 1215233168 | Jill Renee Erickson | Dental Hygienist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770917700 | Misty R Lafranier | Clinic/Center | 29 Black Coal Dr, Fort Washakie, WY 82514-1112 | 2013-08-27 |
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| 1215414875 | Goose Creek Dental Clinic | Clinic/Center | 642 Val Vista St Ste B, Sheridan, WY 82801-3660 | 2018-07-25 |
| 1861900227 | Front Range Spine and Joint, LLC | Clinic/Center | 514 E 19th St, Cheyenne, WY 82001-4646 | 2018-01-18 |
| 1609387711 | Cedars Health | Clinic/Center | 1906 E Cedar St, Rawlins, WY 82301-6033 | 2017-10-16 |
| 1275044380 | Cedars Health | Clinic/Center | 6015 Sycamore Rd Fl 1, Cheyenne, WY 82009-4348 | 2017-10-16 |
| 1568905230 | Sheridan Health Center, Inc | Clinic/Center | 31 E Whitney, Sheridan, WY 82801-4742 | 2016-11-29 |
| 1831580240 | Snowy Range Health Center | Clinic/Center | 2523 E Garfield St Ste B, Laramie, WY 82070-4893 | 2015-02-07 |
| 1316340417 | University of Wyoming | Clinic/Center | 117 E 4th St, Pine Bluffs, WY 82082 | 2014-10-02 |
| 1174833719 | Memorial Hospital of Carbon County | Clinic/Center | 2213 E Cedar St, Rawlins, WY 82301-6027 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHAKIE |
| Zip Code | 82514 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.