NPIMap

Organization Active NPI

Santee Sioux Tribe of Nebraska

  • Clinic/Center
  • Niobrara, NE
National Provider Identifier
1336928159
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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) 857-2910
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Vietta K Swalley
Title
Health Systems Specialist
Phone
(402) 857-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X

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 Dialysis Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710003470 NE Part A Provider - Indian Health Services Facility 8426102773 Practice locations: Niobrara, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336928159. Details of each certification follow.

  • CCN 282538 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 282538

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SANTEE DIALYSIS CENTER
Certification status
Active
Provider type (POS)
End-stage renal disease facility
Participating since
Sep 26, 2024
Last certification
Sep 26, 2024
Ownership / control type
Not for Profit
Facility address
110 S Visiting Eagle St
Niobrara, NE 68760

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 Directory
Tax ID family
Santee Sioux Tribe of Nebraska6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

110 S Visiting Eagle St
Niobrara, NE 68760
Phone (402) 857-2300

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1336928159",
    "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": "402-857-2910"
        },
        {
            "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": "402-857-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE SIOUX TRIBE OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SWALLEY",
        "authorized_official_first_name": "VIETTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "HEALTH SYSTEMS SPECIALIST",
        "authorized_official_telephone_number": "402-857-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santee Dialysis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Niobrara, NE

Sources for this page

Verify at the official NPI Registry.