PHS INDIAN HEALTH SERVICE

NPI # 

Practice Address:

29 Black Coal Drive

Fort Washakie, WY, 82514-0128

Practice Phone:

307-332-7300

Practice Fax:

307-332-5753

License Number:

19751

License State:

WY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, Federal

Taxonomy Code:

261QP0904X