WARM SPRINGS HEALTH AND WELLNESS CENTER (NPI# 1902933443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902933443 |
| Entity Type | Organization |
| Organization Name | WARM SPRINGS HEALTH AND WELLNESS CENTER |
| Practice Address |
1270 Kotnum Rd Warm Springs OR 97761 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415532135 |
| Mailing Telephone | 5415531196 |
| Mailing Fax Number | 5415532135 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROL DEVANEY (CEO) |
| Authorized Official Telephone | 5415531196 |
| 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 |
|---|---|---|---|
| OR | 273855 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194180570 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2015-12-29 |
| 1598016792 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2012-09-27 |
| 1679781686 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2007-05-21 |
| 1356484380 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2007-02-15 |
| 1285630335 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2005-06-23 |
| Street Address |
1270 KOTNUM RD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1962932954 | Brenda Lu Howe | Registered Nurse | 1270 Kotnum Rd, Warm Springs, OR 97761-3001 | 2017-06-13 |
| 1356758189 | Kacey Elizabeth Conyers | Dietitian, Registered | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2014-07-14 |
| 1245313089 | Katherine Julene Russell | Registered Nurse | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2006-10-23 |
| 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 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num 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 |
| 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 |
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| Find all providers in zip 97761 | ||||
| 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 |
|---|---|---|---|---|
| 1376672352 | Warm Springs Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2007-03-05 |
| 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 |
| City | WARM SPRINGS |
| Zip Code | 97761 |
Please comment or provide details below to improve the information on WARM SPRINGS HEALTH AND WELLNESS 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.