NPIMap

Organization Active NPI

Confederated Tribes of Warm Springs Reservation of Oregon

  • Clinic/Center
  • Warm Springs, OR
National Provider Identifier
1902110968
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON
Practice address
1270 Kot-Num Rd
Warm Springs, OR 97761
Phone
(541) 553-1196
Fax
(541) 553-1347
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mr. Michele Stacona
Title
Secretary/Treasurer-Ceo
Phone
(541) 553-3232

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

1270 Kot-Num Rd
Warm Springs, OR 97761

Mailing address

PO Box 1209
1270 Kot-Num Road
Warm Springs, OR 97761-1209
Phone (541) 553-2496

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Warm Springs Reservation of Oregon4 organizations share this tax ID, including this one

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": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1902110968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "address_2": "1270 KOT-NUM ROAD",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977611209",
            "telephone_number": "541-553-2496",
            "fax_number": "541-553-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM RD",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-553-1196",
            "fax_number": "541-553-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "STACONA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER-CEO",
        "authorized_official_telephone_number": "541-553-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.