institution
Shoshone Tribe
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Washakie, Wyoming
NPI 1790824530

Shoshone Tribe is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fort Washakie, WY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Shoshone Tribe practices in Fort Washakie, WY. The NPI Number for Shoshone Tribe is 1790824530 and holds a License No. 07-177 (Wyoming).

The current practice location address for Shoshone Tribe is 11 Shipton Lane, Fort Washakie, WY and can be reached out via phone at 307-332-2998 and via fax at 307-332-4955. You can also correspond with Shoshone Tribe through the mailing address at PO BOX 998, FORT WASHAKIE, WY - 82514-0998 (mailing address contact number: 307-332-2998).

Location: 11 Shipton Lane, Fort Washakie, WY, 82514-0998
institution
Provider Profile Details
NPI Number
1790824530
Provider Name
Shoshone Tribe
Credential
Provider Entity Type
Organization
Address
11 Shipton Lane, Fort Washakie, WY, 82514-0998
Phone Number
307-332-2998
Fax Number
307-332-4955
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11 Shipton Lane
City
State
Zip
82514
Phone Number
307-332-2998
Fax Number
307-332-4955
person
Provider Business Mailing Address Details
Address
11 Shipton Lane
City
State
Zip
82514
Phone Number
307-332-2998
Fax Number
307-332-4955
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
07-177 (Wyoming)
Definition
Definition to come...
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