Organization · Type 2 NPI

Indian Health Service

Federally Qualified Health Center (FQHC) · Fort Washakie, WY

NPI number 1770518532 Active

Practice location

Bldg. 29 Black Coal Drive
Fort Washakie, WY 82514-0128

Call (307) 332-7300 Map

Fax (307) 332-3931

Mailing address

29 Black Coal Drive, P.o. Box 128
Fort Washakie, WY 82514-0128

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	6740A (WY)

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

About NPI 1770518532

Indian Health Service's National Provider Identifier is 1770518532, issued on Jul 11, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fort Washakie, WY. The record was last updated on Aug 22, 2020.