INDIAN HEALTH SERVICE

NPI: 1770518532 · Organization · Active

Primary Specialty

Federally Qualified Health Center (FQHC)
Clinic/Center — Federally Qualified Health Center (FQHC)

Practice Location

BLDG. 29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514-0128 Map ↗
Phone: 307-332-7300
Fax: 307-332-3931

All Specialties & Licenses

  • Federally Qualified Health Center (FQHC) Primary — Federally Qualified Health Center (FQHC) (license: 6740A, WY)

NPI Registration

Enumerated: 2006-07-11

Last CMS Update: 2020-08-22