YELLOWHAWK TRIBAL HEALTH CENTER PHARMACY (NPI# 1285706721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285706721 |
| Entity Type | Organization |
| Organization Name | YELLOWHAWK TRIBAL HEALTH CENTER PHARMACY |
| Other Organization Name | YELLOWHAWK TRIBAL HEALTH CENTER |
| Practice Address |
46314 Timine Way Pendleton OR 97801-9417 |
| Mailing Address |
Po Box 160 Pendleton OR 97801-0160 |
| Practice Telephone | 5419669830 |
| Mailing Telephone | 5419669830 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | LINDA G HETTINGA (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5419669830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 165441 | 05 | |
| OR | MEDICARE | TRZ021 | 01 |
| Other Name | Type Code |
|---|---|
| Yellowhawk Tribal Health Center | Doing Business As Name - Organization |
| Street Address |
46314 TIMINE WAY |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574087 | John A Eaton | Pharmacist | 46314 Timine Way, Pendleton, OR 97801 | 2005-11-07 |
| 1164029393 | Tina M Haynie | Nurse's Aide | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-10-01 |
| 1689288227 | Kolin M Craig | Peer Specialist | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-09-01 |
| 1205446663 | Vivian June Shaw | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-31 |
| 1629687876 | Rachel Marie Hoptowit | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1841809134 | Nicole Grace Whiskeyjack | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1376166876 | Andrew David Laffie | Counselor | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-05-19 |
| 1447884762 | Yellowhawk Tribal Health Center | Case Management | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-02-25 |
| 1740845973 | Robert K Bill | Peer Specialist | 46314 Timine Way, Pendleton, OR 97801-9417 | 2019-05-02 |
| 1568027845 | Tiffany A Legore | Dental Hygienist | 46314 Timine Way, Pendleton, OR 97801-9417 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376672352 | Warm Springs Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2007-03-05 |
| 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 |
| 1861556920 | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3750 Chemawa Rd Ne, Chemawa Indian Health Center Western Oregon Service Uni, Salem, OR 97305-1119 | 2006-12-21 |
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| 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.