# WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sisse-Whapeton Oyate health Care Center and Sisseton Indian Health Ser
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366471666
- **Authorized official:** MS. JUANITA GOTT (CEO)
- **Authorized official phone:** (605) 698-7606

## Contact information

- **Practice address:** 100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
- **Practice address phone:** (605) 698-7606
- **Practice address fax:** (605) 742-3882
- **Mailing address:** 100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
- **Mailing address phone:** (605) 698-7606
- **Mailing address fax:** (605) 742-3882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 11/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5549030 | — | SD |