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Wind River Wraparound

Community/Behavioral Health in Lander, WY. Organization (NPI-2).

NPI number1689288201
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1689288201
Entity type
Organization (NPI-2)
Legal business name
Wind River Wraparound
Organization subpart
No
Enumeration date
Sep 1, 2020
Certification date
Aug 28, 2020
Last updated
Sep 1, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

16 Sandhills Rd.
Lander, WY 82520

Phone 307-349-5647

Mailing address

Po Box 82
Fort Washakie, WY 82514-0082

Phone 307-349-5647

Authorized official

Brian N. Enos
Manager
3073495647

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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