WANBLEE HEALTH CENTER (NPI# 1376702357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376702357 |
| Entity Type | Organization |
| Organization Name | WANBLEE HEALTH CENTER |
| Other Organization Name | INDIAN HEALTH SERVICE |
| Practice Address |
210 1st St Wanblee SD 57577-0290 |
| Mailing Address |
Po Box 290 210 1st Street Wanblee SD 57577-0290 |
| Practice Telephone | 6054626155 |
| Practice Fax Number | 6054626631 |
| Mailing Telephone | 6054626155 |
| Mailing Fax Number | 6054626631 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | DAYLE KNUTSON (PUBLIC HEALTH NURSE) |
| Authorized Official Telephone | 6054626155 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
SDRNRO26987 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Indian Health Service | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1568622140 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-17 |
| 1275796393 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-07-09 |
| Street Address |
210 1ST ST |
| City | WANBLEE |
| State | SD |
| Zip Code | 57577-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962559518 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2007-01-05 |
| 1467719823 | Cindy Lou Rheault | Pharmacist | 210 1st St, Wanblee, SD 57577-0290 | 2012-04-23 |
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| 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 |
| 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 |
| 1568622140 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-17 |
| Find all providers in zip 57577 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1710037288 | Fort Yates Indian Health Service | Clinic/Center | 701 East 6th Street, Mclaughlin, SD 57642-0879 | 2007-01-10 |
| 1144470824 | Us Dept of Health & Human Services | Clinic/Center | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-09-30 |
| 1992965438 | Indian Health Service-kyle Health Center | Clinic/Center | 1000 Health Center Road, Kyle, SD 57752-0540 | 2008-06-09 |
Please comment or provide details below to improve the information on WANBLEE HEALTH CENTER.
| 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.