National Provider Identifier Database

WIND RIVER CARES RIVERTON
Public Health, Federal


Contact Information

WIND RIVER CARES RIVERTON
511 NORTH 12 STREET EAST
RIVERTON, WY82501
Phone: 307-463-4610
Fax: 307-856-1630
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for WIND RIVER CARES RIVERTON

NPI Number 1699292391
Legal business name
LBN
WIND RIVER CARES RIVERTON
Authorized official RICHARD BRANNAN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/24/2017
Last updated 05/03/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • WY Medicaid: 142138700

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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