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WIND RIVER HEALTH SYSTEM INC NPI 1942490891


NPI Information

NPI: 1942490891
Provider Name: WIND RIVER HEALTH SYSTEM, INC

Doing Business As: RIVERTON COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
511 N 12TH ST E
SUITE B
RIVERTON, WY
ZIP 82501
Phone: (307) 857-6685
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WIND RIVER HEALTH SYSTEM, INC is a federally qualified health center (fqhc) clinic center in Riverton, WY. WIND RIVER HEALTH SYSTEM, INC NPI is 1942490891. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverton Community Health Center.

The provider's business location address is:

511 N 12TH ST E
SUITE B
RIVERTON, WY
ZIP 82501-809
Phone: (307) 857-6685
Fax: (307) 857-6420

The provider's authorized official is Dolores Ann Jimerson .
The authorized official title is Ceo and has the following contact phone number (307) 857-6685.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 3/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P33534MEDICARE UPINWYOMING

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: 11/14/2023

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