Organization
SISSETON WAHPETON OYATE HEALTHCARE CENTER
Active
Other names
Woodrow Wilson Keeble Memorial Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
(605) 698-4270
Mailing address
3124 SOLUTIONS CTR, CHICAGO, IL 60677-3001
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094248
PK
—
05
—
5549030
—
SD
Enumeration date
03/05/2007
Last updated
10/28/2014
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