Winding Waters Clinic PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

383865 Issued in OR

Legal business name

WINDING WATERS CLINIC PC

Practice address

203 E First Street
Wallowa, OR 97885-9999

Phone

(541) 886-2431

Fax

(541) 886-2211

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 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

Dr. Scott K Siebe, MD

Title

President

Phone

(541) 886-2431

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1932323474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NE 1ST ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281168",
            "telephone_number": "541-886-2431",
            "fax_number": "541-886-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E FIRST STREET",
            "city": "WALLOWA",
            "state": "OR",
            "postal_code": "978859999",
            "telephone_number": "541-886-2431",
            "fax_number": "541-886-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING WATERS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SIEBE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-886-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": "383865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5966000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG2920",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223198",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Tomlinson
• Wallowa County Health Care District (Wallowa Memorial Medical Clinic - Wallowa)
• Wallowa Pharmacy
• Wallowa School District #12
• Wallowa Valley Center for Wellness
• Winding Waters Medical Clinic
• Winding Waters Medical Clinic (Winding Waters Wallowa)
• Talitha E Winters, RN
• Anne M. Wisbey
• Rebecca Lynn Wyland, QMHA

• Rural Health Clinic/Center in Wallowa, OR
• Providers in Wallowa, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.