INDIAN HEALTH SERVICE (NPI# 1770518532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770518532 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH SERVICE |
| Other Organization Name | WIND RIVER SERVICE UNIT |
| Practice Address |
Bldg. 29 Black Coal Drive Fort Washakie WY 82514-0128 |
| Mailing Address |
29 Black Coal Drive P.o. Box 128 Fort Washakie WY 82514-0128 |
| Practice Telephone | 3073327300 |
| Practice Fax Number | 3073323931 |
| Mailing Telephone | 3073327300 |
| Mailing Fax Number | 3073323931 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GINA ANN RAMIREZ (MEDICAL RECORDS SUPERVISOR) |
| Authorized Official Telephone | 3073327300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6740A | WY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wind River Service Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527668 | Indian Health Service | Clinic/Center | 121 Mission Avenue, Saint Xavier, MT 59075-0114 | 2014-07-28 |
| 1053653667 | Indian Health Service | General Acute Care Hospital | 26045 U.S. Hwy 18, Rosebud, SD 57570-0400 | 2013-03-21 |
| 1487905691 | Indian Health Service | Clinical Medical Laboratory | 4109 Galena St Se, Lacey, WA 98503-2187 | 2012-09-27 |
| 1922337716 | Indian Health Service | General Acute Care Hospital | 3500 Canyon Lake Dr, Rapid City, SD 57702-3118 | 2009-12-08 |
| 1134313232 | Indian Health Service | Clinic/Center | Rustling Willow, Complex D, Towaoc, CO 81334-0049 | 2007-08-31 |
| 1033313879 | Indian Health Service | Radiologic Technologist | 1030 Blue Sage Ct, Hardin, MT 59034-2257 | 2007-06-14 |
| 1194185017 | Indian Health Service | General Acute Care Hospital | Soldier Creek Road, Pob 400, Rosebud, SD 57570-0400 | 2016-03-04 |
| 1457716227 | Indian Health Service | Clinic/Center | 107 H Street E, Poplar, MT 59255 | 2015-12-22 |
| 1063811354 | Indian Health Service | General Acute Care Hospital | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-08-22 |
| 1144523481 | Indian Health Service | Clinic/Center | 10110 South 7650 East, Crow Agency, MT 59022 | 2010-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICE | 3349 B Thrasher Rd, White Cloud, KS 66094-4005 |
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICES/RURAL DEVELOPMENT | 103 E Walnut St, Whiteriver, AZ 85941 |
| Street Address |
BLDG. 29 BLACK COAL DRIVE |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514-0128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1538623665 | Powell Health Care Coalition | Clinic/Center | 444 Greybull Ave, Greybull, WY 82426-2037 | 2019-01-23 |
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1558735308 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 212 West 6th Street, Powell, WY 82435-1809 | 2015-11-17 |
| 1568846962 | Powell Health Care Coalition | Clinic/Center | 128 N. Bent St, Powell, WY 82435-2712 | 2015-07-15 |
| 1073953287 | Wyoming Health Council | Clinic/Center | 615 E 7th St, Powell, WY 82435-1643 | 2013-07-02 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHAKIE |
| Zip Code | 82514 |
Please comment or provide details below to improve the information on INDIAN HEALTH SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.