WARM SPRINGS HEALTH AND WELLNESS CENTER PHARMACY


Address: 1270 Kot-num Rd, Warm Springs, OR 97761
Phone: 5415532134

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 139290 05
NCPDP NUMBER 3813208 01
PHARMACY DEA NUMBER AP5007580 01

Office Location

Street Address 1270 KOT-NUM RD
City WARM SPRINGS
State OR
Zip Code 97761

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City WARM SPRINGS
Zip Code 97761

Improve Information

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Dataset Information

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.

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