Organization · Type 2 NPI

PHS Indian Health Service

Federal Public Health Clinic/Center · Fort Washakie, WY

NPI number 1922320910 Active

Practice location

29 Black Coal Drive
Fort Washakie, WY 82514-0128

Fax (307) 332-5753

Mailing address

PO Box 128
Fort Washakie, WY 82514-0128

Specialties and licenses

TaxonomyCodeLicense
Federal Public Health Clinic/Center Primary 261QP0904X19751 (WY)

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

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About NPI 1922320910

PHS Indian Health Service's National Provider Identifier is 1922320910, issued on Feb 18, 2010. 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 Feb 18, 2010.