| NPI | 1770518532 |
|---|---|
| Other Name | WIND RIVER SERVICE UNIT |
| Entity Type | Organization |
| Authorized Contact | GINA ANN RAMIREZ Medical Records Supervisor 307-332-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WY 6740A) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |