WINNEBAGO TRIBE OF NEBRASKA (NPI# 1891284022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891284022 |
| Entity Type | Organization |
| Organization Name | WINNEBAGO TRIBE OF NEBRASKA |
| Other Organization Name | WCHS PHARMACY |
| Practice Address |
225 South Bluff Street Winnebago NE 68071 |
| Mailing Address |
Po Box Hh Winnebago NE 68071-0767 |
| Practice Telephone | 4028782231 |
| Mailing Telephone | 4028782231 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MS. DANELLE SMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4028782231 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINNEBAGO TRIBE OF NEBRASKA |
| 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 Name | Type Code |
|---|---|
| WCHS Pharmacy | Doing Business As Name - Organization |
| Winnebago Comprehensive Healthcare System Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558717074 | Winnebago Tribe of Nebraska | Community/Behavioral Health | Augustine Dr. #2, Winnebago, NE 68071 | 2016-05-13 |
| 1295720811 | Winnebago Tribe of Nebraska | Ambulance | Hyw 77 & Industrial Pkway, Winnebago, NE 68071 | 2005-09-20 |
| 1326522517 | Winnebago Tribe of Nebraska | Durable Medical Equipment & Medical Supplies | 225 South Bluff Street, Winnebago, NE 68071 | 2018-09-24 |
| 1710469234 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-08-31 |
| 1689150112 | Winnebago Tribe of Nebraska | General Acute Care Hospital | 225 South Bluff Street, Winnebago, NE 68071-0767 | 2018-07-18 |
| 1033608328 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-02 |
| Street Address |
225 SOUTH BLUFF STREET |
| City | WINNEBAGO |
| State | NE |
| Zip Code | 68071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518249846 | Alisha Shelton | Counselor | 225 South Bluff Street, Winnebago, NE 68071 | 2011-09-13 |
| 1891341798 | Camilla Anne Barajas | Registered Nurse | 225 South Bluff Street, Winnebago, NE 68071 | 2019-08-15 |
| 1811455538 | Shelby Rae Boschult | Pharmacist | 225 South Bluff Street, Winnebago, NE 68071 | 2019-03-12 |
| 1851863898 | Melody Yun | Pharmacist | 225 South Bluff Street, Winnebago, NE 68071 | 2018-12-31 |
| 1326522517 | Winnebago Tribe of Nebraska | Durable Medical Equipment & Medical Supplies | 225 South Bluff Street, Winnebago, NE 68071 | 2018-09-24 |
| 1710469234 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-08-31 |
| 1689150112 | Winnebago Tribe of Nebraska | General Acute Care Hospital | 225 South Bluff Street, Winnebago, NE 68071-0767 | 2018-07-18 |
| 1033608328 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-02 |
| 1437406428 | Chibuike Ezennaya Nduanya | Pharmacist | 225 South Bluff Street, Winnebago, NE 68071 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1659932424 | Sandra Jo Kruse-anderson | Registered Nurse | 225 S. Bluff St., Winnebago, NE 68071 | 2019-06-24 |
| 1093272668 | Ricardo Osorio | Nurse Practitioner | 225 Us-75, Winnebago, NE 68071 | 2019-03-01 |
| 1891268736 | Lexa Wright | Pharmacist | 225 S Bluff St, Winnebago, NE 68071 | 2019-01-03 |
| 1245760479 | Angela Rebecca Mcelmuray Dundee | Counselor | Augustine Dr #2, Winnebago, NE 68071 | 2017-06-20 |
| 1558717074 | Winnebago Tribe of Nebraska | Community/Behavioral Health | Augustine Dr. #2, Winnebago, NE 68071 | 2016-05-13 |
| 1801260526 | Winnebago Indian Health Service | Clinic/Center | Hwy 77 75, Winnebago, NE 68071 | 2015-11-18 |
| 1528440385 | All Directions Behavioral Health, Inc. | Counselor | 202 Osborne Street, Winnebago, NE 68071 | 2015-06-29 |
| 1417251216 | Gretchen Wheelock | Nurse Practitioner | Us Highway 77-75, Winnebago, NE 68071 | 2011-01-07 |
| 1457688046 | Marcia Lee Hovland | Counselor | Corner of Hwy 77 and 75, Winnebago, NE 68071 | 2009-11-03 |
| Find all providers in zip 68071 | ||||
| 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 |
|---|---|---|---|---|
| 1154451730 | Winnebago Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Us Highway 77 75, Winnebago, NE 68071 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630234 | Santee Clinic Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 S. Visiting Eagle Street, Niobrara, NE 68760 | 2007-02-27 |
| 1013260561 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 1760778385 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Fred Leroy Health and Wellness Center Pharmacy, Omaha, NE 68107-1643 | 2011-06-22 |
| 1356673040 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Omaha, NE 68107-1643 | 2010-02-04 |
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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.