NPIMap

Organization Active NPI

Osage Nation Si-Si a-Pe-Txa

Doing business as Wah-Zha-Zhe Health Center

  • Radiology Clinic/Center
  • Pawhuska, OK
National Provider Identifier
1902272826
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OSAGE NATION SI-SI A-PE-TXA
Doing business as
Wah-Zha-Zhe Health Center
Practice address
715 Grandview Ave
Pawhuska, OK 74056-3201
Phone
(918) 287-4491
Fax
(918) 287-5251
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Harrison Roby Hudgins
Title
Business Office Manager
Phone
(918) 287-9335

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Health Service Clinic/Center 261QH0100X OK
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OK
Radiology Clinic/Center 261QR0200X OK Primary
Mobile Mammography Clinic/Center 261QR0207X OK
Clinical Medical Laboratory 291U00000X
Substance Abuse Rehabilitation Facility 324500000X OK
Private Vehicle 347C00000X OK

Addresses

Primary practice location

715 Grandview Ave
Pawhuska, OK 74056-3201

Mailing address

715 Grandview Ave
Pawhuska, OK 74056-3201
Phone (918) 287-4491

Other names 2

  • Wah-Zha-Zhe Health Center Doing business as
  • Wah-Zha-Zhi Health Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Osage Nation Si-Si a-Pe-Txa3 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.

Locations

261 N Main St
Fairfax, OK 74637
Phone (918) 642-3943

1222 Lynn Ave
Pawhuska, OK 74056
Phone (918) 287-1093

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1902272826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 GRANDVIEW AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563201",
            "telephone_number": "918-287-4491",
            "fax_number": "918-287-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 GRANDVIEW AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563201",
            "telephone_number": "918-287-4491",
            "fax_number": "918-287-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE NATION SI-SI A-PE-TXA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-01-17",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "ROBY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "918-287-9335"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wah-Zha-Zhe Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wah-Zha-Zhi Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pawhuska, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.