NPIMap

Organization Active NPI

David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit

Doing business as Wellpinit Service Unit

  • Durable Medical Equipment & Medical Supplies
  • Wellpinit, WA
National Provider Identifier
1790954907
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAVID C WYNECOOP MEMORIAL CLINIC DHHS IHS WELLPINIT SERVICE UNIT
Doing business as
Wellpinit Service Unit
Practice address
6203 Agency Loop Rd
Wellpinit, WA 99040-0357
Phone
(509) 258-4517
Fax
(509) 258-7152
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DHHS INDIAN HEALTH SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. April M Toineeta-Flores
Title
Director
Phone
(509) 258-4517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6203 Agency Loop Rd
Wellpinit, WA 99040-0357

Mailing address

PO Box 357
Wellpinit, WA 99040-0357
Phone (509) 258-4517

Other identifiers 1

IdentifierTypeStateIssuer
7100407MedicaidWA

Other names 1

  • WELLPINIT SERVICE UNIT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David C Wynecoop Memorial Clinic4 organizations share this tax ID, including this one
Part of
Colville Indian Health

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1790954907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400357",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 AGENCY LOOP RD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400357",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C WYNECOOP MEMORIAL CLINIC DHHS IHS WELLPINIT SERVICE UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHHS INDIAN HEALTH SERVICE",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "TOINEETA-FLORES",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-258-4517",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLPINIT SERVICE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellpinit, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.