Lower Sioux Indian Community

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LOWER SIOUX INDIAN COMMUNITY

Doing business as

Woniya Kini Behavioral Services

Practice address

39458 Reservation Highway 1
Morton, MN 56270-1252

Phone

(507) 697-6288

NPI assigned

Mar 19, 2007

Last updated

Jun 26, 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

Mrs. Gabrielle Strong

Title

Tribal Administrator

Phone

(507) 697-6185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woniya Kini Behavioral Services Doing business as

Tax ID family

Lower Sioux Indian Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lower Sioux Health Care Center

  • Pharmacist
  • Morton, MN
  • NPI 1144693698
  NPD tax ID
• Lower Sioux Indian Community

  dba Lower Sioux Social Services

  • Case Management Agency
  • Morton, MN
  • NPI 1912446204
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780708107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39458 RESERVATION HIGHWAY 1",
            "city": "MORTON",
            "state": "MN",
            "postal_code": "562701252",
            "telephone_number": "507-697-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39458 RESERVATION HIGHWAY 1",
            "city": "MORTON",
            "state": "MN",
            "postal_code": "562701252",
            "telephone_number": "507-697-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER SIOUX INDIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "TRIBAL ADMINISTRATOR",
        "authorized_official_telephone_number": "507-697-6185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "901477200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woniya Kini Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Marie Goblirsch, PHARM.D.,R.PH.
• Stacy Joy Hammer, RDN,LD
• Handi Van Service (Dan Bennett)
• Lower Sioux Health Care Center
• Lower Sioux Indian Community (Lower Sioux Health Care Center)
• Lower Sioux Indian Community (Lower Sioux Social Services)

• Substance Abuse Rehabilitation Facility in Morton, MN
• Providers in Morton, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.