WARM SPRINGS HEALTH AND WELLNESS CENTER PHARMACY (NPI# 1376672352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376672352 |
Entity Type | Organization |
Organization Name | WARM SPRINGS HEALTH AND WELLNESS CENTER PHARMACY |
Practice Address |
1270 Kot-num Rd Warm Springs OR 97761 |
Mailing Address |
1270 Kot-num Rd Po Box 1209 Warm Springs OR 97761 |
Practice Telephone | 5415532134 |
Practice Fax Number | 5415532481 |
Mailing Telephone | 5415532134 |
Mailing Fax Number | 5415532481 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID BATTESE (AREA BUSINESS OFFICE COORDINATOR) |
Authorized Official Telephone | 5033267277 |
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 | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 139290 | 05 | |
NCPDP NUMBER | 3813208 | 01 | |
PHARMACY DEA NUMBER | AP5007580 | 01 |
Street Address |
1270 KOT-NUM RD |
City | WARM SPRINGS |
State | OR |
Zip Code | 97761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
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 |
1265886881 | Jessica Hall | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 96641 | 2016-04-20 |
1780047563 | Lisa Majewski | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2016-03-30 |
1417315607 | Francisco Silva IIi | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2016-02-03 |
1902110968 | The Confederated Tribes of Warm Springs Reservation of Oregon | Public Health or Welfare | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2010-08-02 |
1104073568 | Cheryl Lynn Sixkiller | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2008-08-27 |
1366699985 | Diana Jaye Wambaugh | Nurse Practitioner | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2008-08-26 |
1780747592 | Constance Jean Street | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2006-12-19 |
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 |
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 |
1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
1376199398 | The Confederated Tribes of The Warm Springs Reservation of Oregon | Physical Therapist | 2124 Warm Springs St., Warm Springs, OR 97761 | 2019-08-15 |
1629623442 | Marilee Nizhoni Chapman | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761 | 2019-08-08 |
Find all providers in zip 97761 |
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 |
---|---|---|---|---|
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1285706721 | Yellowhawk Tribal Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 46314 Timine Way, Pendleton, OR 97801-9417 | 2006-11-13 |
City | WARM SPRINGS |
Zip Code | 97761 |
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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.