Sisseton Wahpeton Oyate of the Lake Traverse Reservation
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Sisseton, SD
NPI 1386464402 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1386464402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- Legal business name
- SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
- Practice address
- 114 Lake Traverse Dr Ste 102
Sisseton, SD 57262-7046 - Phone
- (833) 674-3444
- NPI assigned
- Oct 14, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Authorized official
- Name
- Elise Johnson
- Title
- Tribal Health Director
- Phone
- (605) 698-3911
Corporate family (same tax ID) 6
Practitioners 2
-
Janine Dawn Bassett, CNP
National Provider Directory
- Tax ID family
- Dakotah Pride Center Sisseton Wahpeton Oyate
- Part of
- Dakotah Pride Center Sisseton Wahpeton Oyate
Locations
114 Lake Traverse Dr
Ste 102
Sisseton, SD 57262
Phone (833) 674-3444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Yes |
Addresses
Primary practice location
114 Lake Traverse Dr Ste 102
Sisseton, SD 57262-7046
Mailing address
PO Box 509
Sisseton, SD 57262-0509
Phone (605) 742-3697
Other names
- Asniyapi Field Mobile Unit
Other providers in Sisseton, SD
- Sisseton School District 54 2
- Sisseton Wahpeton Health Care Center
- Sisseton Wahpeton Oyate
- Sisseton Wahpeton Oyate Health Care Center
- Sisseton Wahpeton Oyate Healthcare Center
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation
- David W Staub
- Jennifer Steiner
- Peter Thomas Steinken
- Steven Robert Studzinski
All providers in Sisseton, SD · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.