Organization · Type 2 NPI

Eastern Shoshone Tribe

Federal Public Health Clinic/Center · Fort Washakie, WY

NPI number 1770328718 Active

Practice location

29 Black Coal Dr
Fort Washakie, WY 82514

Call (307) 332-7300 Map

Mailing address

PO Box 128
Fort Washakie, WY 82514-0128

Specialties and licenses

TaxonomyCodeLicense
Federal Public Health Clinic/Center Primary 261QP0904XNone listed
Radiology Clinic/Center 261QR0200XNone listed
Clinical Medical Laboratory 291U00000XNone listed

Federal Public Health Clinic/Center: Definition to come...

21 other providers at this address

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About NPI 1770328718

Eastern Shoshone Tribe's National Provider Identifier is 1770328718, issued on Jul 1, 2024. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Fort Washakie, WY. The record was last updated on Apr 27, 2026.