| Specialty | Taxonomy Code | |
|---|---|---|
| * | Public Health, Federal | 261QP0904X |
| Federally Qualified Health Center (FQHC) | 261QF0400X |
* Indicates primary specialty
| NPI Number | 1447710843 |
| Legal business name LBN |
WIND RIVER FAMILY AND COMMUNITY HEALTH CARE |
| Authorized official | KERRIE MINICK - (BUSINESS ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 03/21/2019 |
| Last updated | 05/03/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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