Active NPI
Santee Sioux Tribe of Nebraska
- Clinic/Center
- Niobrara, NE
National Provider Identifier
1053465096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SANTEE SIOUX TRIBE OF NEBRASKA
- Practice address
- 110 S Visiting Eagle St
Niobrara, NE 68760-7201 - Phone
- (402) 857-2300
- Fax
- (402) 857-2416
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike Henry
- Title
- Health Director
- Phone
- (402) 857-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NE | Primary |
Addresses
Primary practice location
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Mailing address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone (402) 857-2300
Other names 1
- Santee Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090820000497 | TX | Part B Supplier - Clinic/Group Practice | 8426102773 |
Receives reassigned benefits from 6 practitioners Practice locations: Niobrara, NE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Verdigre, NE
- NPI 1174617294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053465096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201",
"telephone_number": "402-857-2300",
"fax_number": "402-857-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201",
"telephone_number": "402-857-2300",
"fax_number": "402-857-2416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTEE SIOUX TRIBE OF NEBRASKA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "402-857-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santee Health Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Niobrara, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.