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General NPI Number Information
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NPI Number | 1285006379
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Entity Type | Organization
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Legal Business Name | WIND RIVER FAMILY & COMMUNITY HEALTHC CARE
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 14 GREAT PLAINS ROAD
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City | ARAPAHOE
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State | WY
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Zip | 82510-0014
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Country | US
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Telephone | 307-856-9281
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Fax | 307-316-0348
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Provider Business Mailing Address
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Address Line | PO BOX 1310
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City | RIVERTON
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State | WY
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Zip | 82501-0158
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Country | US
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Telephone | 307-856-9281
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Fax | 307-316-0348
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Authorized Official
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Title or Position | CEO
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Name | RICHARD B. BRANNAN
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Credential |
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Telephone | 307-856-9281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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