Three Affiliated Tribes White Shield Health Care Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THREE AFFILIATED TRIBES WHITE SHIELD HEALTH CARE CENTER

Practice address

2 Main Street B
Roseglen, ND 58775-0000

Phone

(701) 743-4504

NPI assigned

Jan 29, 2008

Last updated

May 13, 2008By 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

Mr. Marcus D Wells Jr.

Title

Chairman

Phone

(701) 627-4781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1558548909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN STREET B",
            "city": "ROSEGLEN",
            "state": "ND",
            "postal_code": "587750000",
            "telephone_number": "701-743-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN STREET B",
            "city": "ROSEGLEN",
            "state": "ND",
            "postal_code": "587750000",
            "telephone_number": "701-743-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE AFFILIATED TRIBES WHITE SHIELD HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "701-627-4781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Affiliated Tribes White Shield Healthcare Telepharmacy (TAT White Tele Pharmacy)

• Multi-Specialty Clinic/Center in Roseglen, ND
• Providers in Roseglen, ND by specialty
• Multi-Specialty Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.