EASTERN SHOSHONE TRIBAL HEALTH NPI 1902240070

NPI Information

NPI: 1902240070
Provider Name: EASTERN SHOSHONE TRIBAL HEALTH
Classification: Clinic/Center - 261QP0904X
Specialization: Public Health, Federal
Entity Type: Organization
CLIA Number: 53D1092482
Address: 15230 US HWY 287
FORT WASHAKIE, WY
ZIP 82514
Phone: (307) 332-6805

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NPI Details

EASTERN SHOSHONE TRIBAL HEALTH is a public health and federal clinic center in Fort Washakie, WY. EASTERN SHOSHONE TRIBAL HEALTH NPI is 1902240070. The provider is registered as an organization entity type.

The provider's business location address is:

15230 US HWY 287
FORT WASHAKIE, WY
ZIP 82514-250
Phone: (307) 332-6805
Fax: (307) 332-0458

The provider's authorized official is David Meyers .
The authorized official title is Director and has the following contact phone number (307) 332-6805.

The CLIA number assigned to this NPI record is 53D1092482 - other - tribal health program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251J00000X	Nursing Care		No
3	251K00000X	Public Health or Welfare		No
4	251S00000X	Community/Behavioral Health		No
5	261QP0904X	Clinic/Center	Public Health, Federal	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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