Shoshone Tribe
Shoshone Tribe provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Fort Washakie, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.
- Licensed in
- WY
- In the registry since
- 2007
Practice location Address checks out
11 Shipton LnFort Washakie, WY 82514 Not confirmed with CMS for 18 years — call before visiting
Phone: (307) 332-2998
Fax: (307) 332-4955
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
Clinicians affiliated with this facility
- Rubin Chandran, MD Nephrology Physician · Hillsboro, OR