CONFEDERATED TRIBES OF WARM SPRINGS (NPI# 1336440502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336440502 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED TRIBES OF WARM SPRINGS |
| Practice Address |
1270 Kot Num Rd Warm Springs OR 97761 |
| Mailing Address |
1270 Kotnum Rd Warm Springs OR 97761 |
| Practice Telephone | 5415531196 |
| Mailing Telephone | 5415531196 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MS. MICHELE STACONA (SECRETARY TREASURER-CEO) |
| Authorized Official Telephone | 5415531161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
26 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164964 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CONFEDERATED TRIBES OF WARM SPRINGS ELDER COUNCIL | Po Box 1302, WARM SPRINGS OR |
| Street Address |
1270 KOT NUM RD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1013439785 | Janet Marie Bissell | Registered Nurse | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2017-07-13 |
| 1710256391 | Denise Marie Devore | Registered Nurse | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2011-12-28 |
| 1003027418 | Diane Marie Franklin | Dietitian, Registered | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2007-05-25 |
| 1417084708 | Warm Springs Health and Wellness Dhhs Ihs Warm Springs Service Unit | Clinic/Center | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2007-02-27 |
| 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 |
| 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 |
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| 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 |
|---|---|---|---|---|
| 1194180570 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2015-12-29 |
| 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 CONFEDERATED TRIBES OF WARM SPRINGS.
| 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.