WIND RIVER FAMILY AND COMMUNITY HEALTH CARE
NPI 1447710843
Clinic/Center - Public Health, Federal in Ethete, WY

NPI Status: Active since March 21, 2019

Contact Information

707 BLUE SKY HWY
ETHETE, WY
ZIP 82520
Phone: (307) 335-4698
Fax: (307) 335-1038

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  • Organization
  • Clinic/Center
  • Public Health, Federal
  • CLIA Number: 53D2138101
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-02-2027

About WIND RIVER FAMILY AND COMMUNITY HEALTH CARE

This page provides the complete NPI Profile along with additional information for Wind River Family And Community Health Care, a primary care provider established in Ethete, Wyoming operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1447710843 assigned on March 2019. The practitioner's primary taxonomy code is 261QP0904X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kerrie Minick (Business Administrator)

NPI
1447710843
Provider Name
WIND RIVER FAMILY AND COMMUNITY HEALTH CARE
Entity Type
Organization
Location Address
707 BLUE SKY HWY ETHETE, WY 82520
Location Phone
(307) 335-4698
Location Fax
(307) 335-1038
Mailing Address
PO BOX 1310 RIVERTON, WY 82501
Mailing Phone
(307) 856-9281
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-21-2019
Last Update Date
05-03-2024
Code Navigator

A primary care provider (PCP) like Wind River Family And Community Health Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Public Health, Federal

Taxonomy Code
261QP0904X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KERRIE MINICK

Authorized Official Title
BUSINESS ADMINISTRATOR
Authorized Official Phone
(307) 856-9281

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D2138101
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 03, 2025
Certificate Expiration Date
March 02, 2027
Laboratory Director
ERICA R. GRZENDA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wind River Family And Community Health Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447710843, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 1 + 4 + 1 + 0 + 8 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1447710843.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
707 BLUE SKY HWY
ETHETE, WY 82520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447710843, enumerated as an "organization" on March 21, 2019.

The provider is located at 707 BLUE SKY HWY ETHETE, WY 82520 and the phone number is (307) 335-4698.

Clinic/Center with taxonomy code 261QP0904X and a focus in Public Health, Federal.