| Sisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser | |
|
100 Lake Traverse Drive Sisseton SD 57262 | |
| (605) 698-7606 | |
| (605) 742-3882 |
| Full Name | Sisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Lake Traverse Drive, Sisseton, South Dakota |
| Authorized Official Name and Position | Randy Jordan (CEO) |
| Authorized Official Contact | 6056987606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser 100 Lake Traverse Drive Sisseton SD 57262 Ph: (605) 698-7606 | Sisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser 100 Lake Traverse Drive Sisseton SD 57262 Ph: (605) 698-7606 |
| NPI Number | 1366471666 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 05/14/2018 |
| Medicare PECOS PAC ID | 1850295940 |
|---|---|
| Medicare Enrollment ID | O20031120000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366471666 | NPI | - | NPPES |
| 5549030 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Linda R Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952307696 PECOS PAC ID: 7113821224 Enrollment ID: I20031120000857 |
| Provider Name | Janine D Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568461804 PECOS PAC ID: 1355344151 Enrollment ID: I20060817000088 |
| Provider Name | Jay S Guikema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033289319 PECOS PAC ID: 2163446428 Enrollment ID: I20070110000043 |
| Provider Name | Duane M Chase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992844906 PECOS PAC ID: 7719045806 Enrollment ID: I20081017000486 |
| Provider Name | Judith E Pentz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700926334 PECOS PAC ID: 4082696117 Enrollment ID: I20101210000036 |
| Provider Name | Debra A Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467624155 PECOS PAC ID: 7315010014 Enrollment ID: I20130627000186 |
| Provider Name | Paula Bossert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437558822 PECOS PAC ID: 8729207857 Enrollment ID: I20140922001973 |
| Provider Name | Francine L Mousseau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770777120 PECOS PAC ID: 4486839206 Enrollment ID: I20150123000108 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20151109000254 |
| Provider Name | Joanne Carol Hairy Shirt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205909017 PECOS PAC ID: 8224338645 Enrollment ID: I20151207002655 |
| Provider Name | Edward D Gonzales |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841372471 PECOS PAC ID: 1759682974 Enrollment ID: I20151214000284 |
| Provider Name | Kelli Kay Horton Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073721213 PECOS PAC ID: 4981664356 Enrollment ID: I20160824001408 |
| Provider Name | Douglas L Lasuer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851338198 PECOS PAC ID: 8820013410 Enrollment ID: I20170418001541 |
| Provider Name | Jeffrey Heyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235190026 PECOS PAC ID: 8527009273 Enrollment ID: I20171002002424 |
| Provider Name | Juanita I Jalomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053714360 PECOS PAC ID: 3870840390 Enrollment ID: I20180716000738 |
| Provider Name | Jonathan Roebuck |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013011626 PECOS PAC ID: 9931339199 Enrollment ID: I20190130001893 |
| Provider Name | Seth A Mandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255444022 PECOS PAC ID: 4688671209 Enrollment ID: I20190626002493 |
| Provider Name | Joshua A Skufca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760863369 PECOS PAC ID: 9032423181 Enrollment ID: I20191015002576 |
| Provider Name | Tina Evenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114151214 PECOS PAC ID: 3173669645 Enrollment ID: I20200310002228 |
| Provider Name | Nisha J Manek |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437139151 PECOS PAC ID: 4486798097 Enrollment ID: I20200401001340 |
| Provider Name | Adam Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033539937 PECOS PAC ID: 9436378734 Enrollment ID: I20200406003274 |
| Provider Name | Peter J Lloyd |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962717918 PECOS PAC ID: 2769775568 Enrollment ID: I20200407003506 |
| Provider Name | Natasha D Bordeaux |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639734890 PECOS PAC ID: 6800216920 Enrollment ID: I20201012001214 |
| Provider Name | Lisa G New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265478465 PECOS PAC ID: 8729113519 Enrollment ID: I20201201000080 |
| Provider Name | Mitchell J Relf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245886746 PECOS PAC ID: 0446664106 Enrollment ID: I20210121000799 |
| Provider Name | Kenna Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073167953 PECOS PAC ID: 3173937844 Enrollment ID: I20210121001245 |
| Provider Name | Anders Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790393825 PECOS PAC ID: 6608280383 Enrollment ID: I20210121001365 |
| Provider Name | Collin Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982231510 PECOS PAC ID: 2567886575 Enrollment ID: I20210202002537 |
| Provider Name | Hailey Anne Lick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851916308 PECOS PAC ID: 4284030784 Enrollment ID: I20210909000053 |
| Provider Name | David John Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457352205 PECOS PAC ID: 1557446002 Enrollment ID: I20211208000867 |
| Provider Name | Penny Hormann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265997340 PECOS PAC ID: 9436498383 Enrollment ID: I20220203001914 |
| Provider Name | Colleen L Campbell-lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750523395 PECOS PAC ID: 7618006743 Enrollment ID: I20220921001068 |
| Provider Name | Faith Ann Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003397571 PECOS PAC ID: 2365796547 Enrollment ID: I20221122003064 |
| Provider Name | Chukwuemeka Moses Ekeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386616365 PECOS PAC ID: 9335137090 Enrollment ID: I20230227000254 |
| Provider Name | Alicia Chisholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023063252 PECOS PAC ID: 8921380742 Enrollment ID: I20230324001713 |
| Provider Name | Cathy Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023407277 PECOS PAC ID: 0345515862 Enrollment ID: I20230404001053 |
| Provider Name | Sandra M Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908187 PECOS PAC ID: 0446235964 Enrollment ID: I20230816003046 |
| Provider Name | Joey J Hoefling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396186136 PECOS PAC ID: 8224205372 Enrollment ID: I20231219002861 |
| Provider Name | Jeanette Schlimme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225752819 PECOS PAC ID: 4587035431 Enrollment ID: I20240112002063 |
| Provider Name | Jennifer Leigh Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001192 PECOS PAC ID: 3678843844 Enrollment ID: I20240306000195 |
Us Dept Of Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Coteau Des Prairies Health Care System Rosholt Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Orchard Drive, Sisseton, SD 57262 Phone: 605-698-7647 Fax: 605-698-4626 | |
Sisseton Wahpeton Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Coteau Des Prairies Health Care System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-3493 | |
Coteau Des Prairies Health Care System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Orchard Drive, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-3493 | |
Thielen Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 South Dakota Hwy 10, Sisseton, SD 57262 Phone: 605-698-3522 Fax: 605-698-4465 |