WANBLEE HEALTH CENTER (NPI# 1568622140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568622140 |
| Entity Type | Organization |
| Organization Name | WANBLEE HEALTH CENTER |
| Practice Address |
210 First St Wanblee SD 57577-0290 |
| Practice Telephone | 6054626155 |
| Practice Fax Number | 6054626551 |
| Mailing Telephone | 6054626155 |
| Mailing Fax Number | 6054626551 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | FRANCINE RED WILLOW (HEALTH SYSTEM ADMINISTRATOR) |
| Authorized Official Telephone | 6054626155 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R013866 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SOUTH DAKOTA NURSING LICENSE | RO13866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1275796393 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-07-09 |
| 1376702357 | Wanblee Health Center | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2008-06-05 |
| Street Address |
210 FIRST ST |
| City | WANBLEE |
| State | SD |
| Zip Code | 57577-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275796393 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-07-09 |
| 1215199393 | Wanbleee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979845 | Denise Kovach | Registered Nurse | 210 1 St Street, Wanblee, SD 57577 | 2014-07-08 |
| 1427297266 | Jaimee Allisen Mcguire | Nurse Practitioner | 210 1st Street, Wanblee, SD 57577 | 2009-02-18 |
| 1174653752 | Wanblee Indian Health Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 44, Wanblee, SD 57577 | 2007-03-06 |
| 1639132533 | George Edward Starr | Physician Assistant | Wanblee Health Center, 210 First Street, Wanblee, SD 57577 | 2006-04-11 |
| 1225005473 | Brent L Barker | Dentist | 210 1st., Wanblee, SD 57577 | 2006-03-07 |
| 1750358354 | Suzanne Marie England | Advanced Practice Midwife | 1000 Health Care Way, Wanblee, SD 57577 | 2006-03-02 |
| 1003184607 | Dwan Renee Kendrick | Registered Nurse | 210 First Street, Wanblee, SD 57577 | 2011-12-09 |
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| 1174736664 | Margaret Ellyn Musselman | Nurse Practitioner | 210 First Street, Wanblee, SD 57577 | 2007-05-08 |
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| Find all providers in zip 57577 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1275796393 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-07-09 |
| 1215199393 | Wanbleee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-30 |
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| Find all providers with the same taxonomy | ||||
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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.