Organization · Type 2 NPI

Wind River Health Systems

Federally Qualified Health Center (FQHC) · Dubois, WY

NPI number 1700964699 Active

Practice location

5647 US Hwy 26
Dubois, WY 82513-0577

Call (307) 455-2516 Map

Fax (307) 455-2526

Mailing address

511 N. 12th St. E
Riverton, WY 82501-3809

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Community Health Center of Central Wyoming IncFederally Qualified Health Center (FQHC) Dubois, WY NPI 1306136205
Wind River Health Systems, Inc.Federally Qualified Health Center (FQHC) Dubois, WY NPI 1932422375

Other federally qualified health center (fqhc) providers in Dubois

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NPI record

NPI: 1700964699
Entity type: Organization (Type 2)
Issued: Nov 1, 2006
Last updated: Mar 11, 2010
Status: Active
Subpart: Yes of Wind River Health Systems, Inc.

Other names

<unavail>
Dubois Medical Clinic · other name

Authorized official

Catherine E Keene, CPA, MBA
Chief Executive Officer
(307) 857-6685

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700964699

Wind River Health Systems's National Provider Identifier is 1700964699, issued on Nov 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dubois, WY. The record was last updated on Mar 11, 2010.