PHS INDIAN HEALTH SERVICE; NPI #1922320910

Contact Information

PHS INDIAN HEALTH SERVICE

29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514-0128

Phone: 307-332-7300
Fax: 307-332-5753
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for PHS INDIAN HEALTH SERVICE

NPI Number 1922320910

LBN Legal business name PHS INDIAN HEALTH SERVICE

Authorized official TARA ROBINSON - (CREDENTIALING COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/18/2010

Last updated 02/18/2010 - About 16 years ago

Identifiers

License #

19751

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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