INDIAN HEALTH SERVICE – NPI #1770518532
Clinic/Center

INDIAN HEALTH SERVICE is an AHC clinic located in FORT WASHAKIE, WY. NPPES has assigned the NPI number 1770518532 to INDIAN HEALTH SERVICE on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. INDIAN HEALTH SERVICE is also known by the name WIND RIVER SERVICE UNIT. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIAN HEALTH SERVICE below.

NPI Profile for
INDIAN HEALTH SERVICE

NPI Number
1770518532
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIAN HEALTH SERVICE
Other Name: WIND RIVER SERVICE UNIT
Primary location
BLDG. 29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514-0128
Phone: (307) 332-7300 Fax: (307) 332-3931
Mailing address
29 BLACK COAL DRIVE
P.O. BOX 128
FORT WASHAKIE, WY 82514-0128
Phone: (307) 332-7300 Fax: (307) 332-3931
Organization Subpart
No
Authorized Official
GINA RAMIREZ
MEDICAL RECORDS SUPERVISOR
Phone: (307) 332-7300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 WY 6740A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.