National Provider Identifier Database

PHS INDIAN HEALTH SERVICE
Public Health, Federal


Contact Information

PHS INDIAN HEALTH SERVICE
29 BLACK COAL DRIVE
FORT WASHAKIE, WY82514-0128
Phone: 307-332-7300
Fax: 307-332-5753
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for PHS INDIAN HEALTH SERVICE

NPI Number 1922320910
Legal business name
LBN
PHS INDIAN HEALTH SERVICE
Authorized official TARA ROBINSON - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 02/18/2010
Last updated 02/18/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 19751

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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