WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER – NPI #1366471666
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER is an AHC clinic located in SISSETON, SD. NPPES has assigned the NPI number 1366471666 to WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER is also known by the name SISSE-WHAPETON OYATE HEALTH CARE CENTER AND SISSETON INDIAN HEALTH SER. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Nov 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER below.

NPI Profile for
WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER

NPI Number
1366471666
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
Other Name: SISSE-WHAPETON OYATE HEALTH CARE CENTER AND SISSETON INDIAN HEALTH SER
Primary location
100 LAKE TRAVERSE DRIVE
SISSETON, SD 57262
Phone: (605) 698-7606 Fax: (605) 742-3882
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUANITA GOTT
CEO
Phone: (605) 698-7606
Updated
Certification Date
Nov 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSD5549030
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.