WARM SPRINGS HEALTH AND WELLNESS CENTER (NPI# 1194180570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180570 |
| Entity Type | Organization |
| Organization Name | WARM SPRINGS HEALTH AND WELLNESS CENTER |
| Practice Address |
1270 Kot-num Road Warm Springs OR 97761 |
| Practice Telephone | 5415532134 |
| Practice Fax Number | 5415532481 |
| Mailing Telephone | 5415532134 |
| Mailing Fax Number | 5415532481 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | DR. RACHEL LOCKER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5415532134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
RPH-0014779 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016792 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2012-09-27 |
| 1679781686 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2007-05-21 |
| 1902933443 | Warm Springs Health and Wellness Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2007-02-28 |
| 1356484380 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2007-02-15 |
| 1285630335 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2005-06-23 |
| Street Address |
1270 KOT-NUM ROAD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437172 | Joanne Wallis | Nurse Practitioner | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2005-06-16 |
| 1629623442 | Marilee Nizhoni Chapman | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761 | 2019-08-08 |
| 1760933303 | Andrew Portier | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2016-10-19 |
| 1912339656 | Cristina D Miraflor | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761 | 2013-08-05 |
| 1962846592 | Elizabeth Johnson | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761 | 2013-04-25 |
| 1598016792 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2012-09-27 |
| 1821367806 | Susan Arlette Knight | Registered Nurse | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2011-12-21 |
| 1821306085 | Roberta Carol Villa | Licensed Practical Nurse | 1270 Kot-num Road, Warm Springs, OR 97761 | 2010-09-21 |
| 1245417880 | Tracey L Hampton | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2008-01-25 |
| 1518085257 | Sara Lee Thomas | Dietitian, Registered | 1270 Kot-num Road, Warm Springs, OR 97761 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336440502 | Confederated Tribes of Warm Springs | Clinic/Center | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2010-11-04 |
| 1356484380 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086025 | Julie Lalena Griess | Clinic/Center | 2964 Ne Douglas Ave, Roseburg, OR 97470-3726 | 2014-09-18 |
| 1396117511 | Western Oregon Service Unit | Clinic/Center | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-10-27 |
| City | WARM SPRINGS |
| Zip Code | 97761 |
Please comment or provide details below to improve the information on WARM SPRINGS HEALTH AND WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.