National Provider Identifier Database

INDIAN HEALTH SERVICE
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

INDIAN HEALTH SERVICE
BLDG. 29 BLACK COAL DRIVE
FORT WASHAKIE, WY82514-0128
Phone: 307-332-7300
Fax: 307-332-3931
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for INDIAN HEALTH SERVICE

NPI Number 1770518532
Legal business name
LBN
INDIAN HEALTH SERVICE
Authorized official GINA RAMIREZ - (MEDICAL RECORDS SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 6740A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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