Organization
DAVID C WYNECOOP MEMORIAL CLINIC DHHS IHS WELLPINIT SERVICE UNIT
Active
Parent organization
DHHS INDIAN HEALTH SERVICE
Other names
WELLPINIT SERVICE UNIT
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHHS INDIAN HEALTH SERVICE
Authorized official
MS. APRIL M TOINEETA-FLORES (DIRECTOR)
(509) 258-4517
Entity
Organization
Contact information
Practice address
6203 AGENCY LOOP RD, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-7152
Mailing address
PO BOX 357, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-7152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100407
—
WA
Enumeration date
02/22/2008
Last updated
02/22/2008
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