Sisseton Wahpeton Oyate Health Care Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SISSETON WAHPETON OYATE HEALTH CARE CENTER

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Phone

(605) 742-3633

Fax

(605) 698-3141

NPI assigned

Apr 30, 2009

Last updated

Apr 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Geraldine E. Opsal

Title

Medical Technician

Phone

(605) 742-3633

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Woodrow WLSN Kble MMRL HLTH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sisseton Wahpeton Oyate Healthcare Center

  dba Woodrow Wilson Keeble Memorial Health Care Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sisseton, SD
  • NPI 1801925060
  NPD tax ID

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1255575536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3633",
            "fax_number": "605-698-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3633",
            "fax_number": "605-698-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISSETON WAHPETON OYATE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "OPSAL",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL TECHNICIAN",
        "authorized_official_telephone_number": "605-742-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephani Sue Scheurenbrand, CRNA
• Shopko Stores Operating Co LLC (Shopko Pharmacy 751)
• Sisseton School District 54 2
• Sisseton Wahpeton Health Care Center
• Sisseton Wahpeton Oyate
• Sisseton Wahpeton Oyate Healthcare Center (Woodrow Wilson Keeble Memorial Health Care Center)
• Sisseton Wahpeton Oyate of the Lake Traverse Reservation
• Sisseton Wahpeton Oyate of the Lake Traverse Reservation (Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic)
• David W Staub, MD
• Jennifer Steiner, CFNP

• Clinical Medical Laboratory in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Clinical Medical Laboratory in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.