Confederated Tribes of the Warm Springs Reservation of Oregon

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON

Practice address

2112 Wasco St.
Warm Springs, OR 97761-3001

Phone

(541) 553-1634

Fax

(541) 553-3531

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Joseph Collins

Title

Managed Care Director

Phone

(541) 553-2494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Confederated Tribes of the Warm Springs Reservation of Oregon Former legal business name
• Fire & Safety Department Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1245375476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977613001",
            "telephone_number": "541-553-1634",
            "fax_number": "541-553-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 WASCO ST.",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977613001",
            "telephone_number": "541-553-1634",
            "fax_number": "541-553-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "541-553-2494"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TP000173",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confederated Tribes of the Warm Springs Reservation of Oregon",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fire & Safety Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fire & Safety Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dwight Carpen, FNP
• Jessie Zepeda Casberg, PHARMD
• Richelle Castro, DMD
• Marilee Nizhoni Chapman
• Jody Eun Cho, PHARMD
• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of Warm Springs Reservation of Oregon
• Kacey Elizabeth Conyers, MS, RD, LD

• Ambulance in Warm Springs, OR
• Providers in Warm Springs, OR by specialty
• Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.

Verify at the official NPI Registry.