WINNEBAGO IHS HOSPITAL PHARMACY (NPI# 1154451730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154451730 |
| Entity Type | Organization |
| Organization Name | WINNEBAGO IHS HOSPITAL PHARMACY |
| Other Organization Name | WINNEBAGO IHS HOSPITAL PHARMACY |
| Practice Address |
Us Highway 77 75 Winnebago NE 68071 |
| Mailing Address |
3127 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 4028782231 |
| Practice Fax Number | 4028782881 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| 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 |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2815580 | 01 |
| Other Name | Type Code |
|---|---|
| WINNEBAGO IHS HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
US HIGHWAY 77 75 |
| City | WINNEBAGO |
| State | NE |
| Zip Code | 68071 |
| 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 |
| 1518249846 | Alisha Shelton | Counselor | 225 South Bluff Street, Winnebago, NE 68071 | 2011-09-13 |
| 1417251216 | Gretchen Wheelock | Nurse Practitioner | Us Highway 77-75, Winnebago, NE 68071 | 2011-01-07 |
| 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 |
|---|---|---|---|---|
| 1891284022 | Winnebago Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-03 |
| 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.