SHOSHONE & ARAPAHO TRIBAL SUBSTANCE ABUSE COURT (NPI# 1881919751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881919751 |
| Entity Type | Organization |
| Organization Name | SHOSHONE & ARAPAHO TRIBAL SUBSTANCE ABUSE COURT |
| Practice Address |
215 Ethete Rd Fort Washakie WY 82514 |
| Mailing Address |
Po Box 1561 215 Ethete Road Fort Washakie WY 82514-1561 |
| Practice Telephone | 3073358374 |
| Practice Fax Number | 3073358299 |
| Mailing Telephone | 3073358374 |
| Mailing Fax Number | 3073358299 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |
| Authorized Official Name | MS. SUNNY RAE GOGGLES (COORDINATOR) |
| Authorized Official Telephone | 3073358374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
215 ETHETE RD |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514 |
| 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 |
| 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 |
| 1821329459 | Karen Fay Gibson | Clinical Medical Laboratory | 29 Blackcoal Dr., Laboratory, Fort Washakie, WY 82514 | 2010-01-21 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265751309 | Eastern Shoshone Recovery | Clinic/Center | #7 Shipton Lane, Fort Washakie, WY 82514-0538 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837682 | Chrysalis Treatment Center, Inc. | Clinic/Center | 137 S Division St, Powell, WY 82435-2409 | 2018-10-16 |
| 1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
| 1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
| 1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
| 1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
| 1578765749 | With Eagle's Wings | Clinic/Center | 11 Great Plain Road, Arapahoe, WY 82524-0197 | 2007-06-01 |
| 1316151053 | Solutions for Life | Clinic/Center | 905 S Main St., Lusk, WY 82225 | 2007-05-10 |
| 1013133198 | Cheyenne Community Drug Abuse Treatment Council, Inc. | Clinic/Center | 1920 Thomes Ave, Suite 320, Cheyenne, WY 82001-3542 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHAKIE |
| Zip Code | 82514 |
Please comment or provide details below to improve the information on SHOSHONE & ARAPAHO TRIBAL SUBSTANCE ABUSE COURT.
| 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.