Active NPI
Woodrow Wilson Keeble Memorial Health Care Center
- Clinic/Center
- Sisseton, SD
National Provider Identifier
1366471666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
- Practice address
- 100 Lake Traverse Drive
Sisseton, SD 57262 - Phone
- (605) 698-7606
- Fax
- (605) 742-3882
- NPI assigned
- Jul 1, 2006
- Last updated
- Nov 25, 2024
- 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
- Ms. Juanita Gott
- Title
- Ceo
- Phone
- (605) 698-7606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
100 Lake Traverse Drive
Sisseton, SD 57262
Mailing address
100 Lake Traverse Drive
Sisseton, SD 57262
Phone (605) 698-7606
Other names 1
- Sisse-Whapeton Oyate health Care Center and Sisseton Indian Health Ser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 53
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sioux Falls, SD
- NPI 1124530860
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1366471666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LAKE TRAVERSE DRIVE",
"city": "SISSETON",
"state": "SD",
"postal_code": "57262",
"telephone_number": "605-698-7606",
"fax_number": "605-742-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAKE TRAVERSE DRIVE",
"city": "SISSETON",
"state": "SD",
"postal_code": "57262",
"telephone_number": "605-698-7606",
"fax_number": "605-742-3882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "GOTT",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "605-698-7606",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sisse-Whapeton Oyate health Care Center and Sisseton Indian Health Ser",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Sisse-Whapeton Oyate health Care Center and Sisseton Indian Health Ser",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.