Sisseton Wahpeton Oyate Healthcare Center

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

SISSETON WAHPETON OYATE HEALTHCARE CENTER

Doing business as

Woodrow Wilson Keeble Memorial Health Care Center

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Phone

(605) 698-7606

Fax

(605) 698-4270

NPI assigned

Mar 5, 2007

Last updated

Oct 28, 2014By 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

James Cummings, PHARMD

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodrow Wilson Keeble Memorial Health Care Center Doing business as

Tax ID family

Woodrow WLSN Kble MMRL HLTH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sisseton Wahpeton Oyate Health Care Center

  • Clinical Medical Laboratory
  • Sisseton, SD
  • NPI 1255575536
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1801925060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-698-7606",
            "fax_number": "605-698-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISSETON WAHPETON OYATE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "405-951-6086",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094248",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549030",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodrow Wilson Keeble Memorial Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shopko Stores Operating Co LLC (Shopko Pharmacy 751)
• Sisseton School District 54 2
• Sisseton Wahpeton Health Care Center
• Sisseton Wahpeton Oyate
• Sisseton Wahpeton Oyate Health Care Center
• Sisseton Wahpeton Oyate of the Lake Traverse Reservation
• Sisseton Wahpeton Oyate of the Lake Traverse Reservation (Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic)
• David W Staub, MD
• Jennifer Steiner, CFNP
• Peter Thomas Steinken, PHARM D.

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.