Shoshone Tribe

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1790824530

Shoshone Tribe is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Washakie, Wyoming. Medicare rates this dialysis facility 1 out of 5. Licensed in Wyoming.

CMS rating: 1 of 5
Licensed in: WY
In the registry since: 2007

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 532503)

Practice location Address checks out

11 Shipton Ln
Fort Washakie, WY 82514
Phone: (307) 332-2998
Fax: (307) 332-4955

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence 07-177 (WY)

Record details

NPI number	1790824530
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Diane Garcia — Ceo, Nurse Manager · (307) 332-2998
Other names	Wind River Dialysis Center
NPI enumerated	February 6, 2007
Last updated in NPPES	April 24, 2008
Mailing address	Po Box 998, Fort Washakie, WY 82514-0998