SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
NPI 1386464402
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Sisseton, SD

NPI Status: Active since October 14, 2024

Contact Information

114 LAKE TRAVERSE DR STE 102
SISSETON, SD
ZIP 57262
Phone: (833) 674-3444

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About SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION

This page provides the complete NPI Profile along with additional information for Sisseton Wahpeton Oyate Of The Lake Traverse Reservation, a provider established in Sisseton, South Dakota operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1386464402 assigned on October 2024. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Elise Johnson (Tribal Health Director)

NPI
1386464402
Provider Name
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Entity Type
Organization
Location Address
114 LAKE TRAVERSE DR STE 102 SISSETON, SD 57262
Location Phone
(833) 674-3444
Mailing Address
PO BOX 509 SISSETON, SD 57262
Mailing Phone
(605) 742-3697
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-14-2024
Last Update Date
10-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Code
332800000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELISE JOHNSON

Authorized Official Title
TRIBAL HEALTH DIRECTOR
Authorized Official Phone
(605) 698-3911

Reviews for SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386464402
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316686840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 8 + 6 + 8 + 4 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1386464402 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629858519SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Organization
Nurse Practitioner (Primary Care)114 LAKE TRAVERSE DR STE 102
SISSETON, SD 57262
(833) 674-3444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386464402, enumerated in the NPI registry as an "organization" on October 14, 2024

The provider is located at 114 Lake Traverse Dr Ste 102 Sisseton, Sd 57262 and the phone number is (833) 674-3444

This medical organization specializes in Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X

This NPI record was last updated on October 14, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.