WIND RIVER FAMILY AND COMMUNITY HEALTH CARE; NPI #1447710843

Contact Information

WIND RIVER FAMILY AND COMMUNITY HEALTH CARE

707 BLUE SKY HWY
ETHETE, WY 82520-8252

Phone: 307-335-4698
Fax: 307-335-1038
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Public Health, Federal	261QP0904X
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for WIND RIVER FAMILY AND COMMUNITY HEALTH CARE

NPI Number	`1447710843`
LBN Legal business name	WIND RIVER FAMILY AND COMMUNITY HEALTH CARE
Authorized official	KERRIE MINICK - (BUSINESS ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/21/2019
Last updated	05/03/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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