DAVID C WYNECOOP MEMORIAL CLINIC
NPI 1003963000
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wellpinit, WA

Q: What is David C Wynecoop Memorial Clinic's NPI number?

The NPI number for David C Wynecoop Memorial Clinic is 1003963000. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is David C Wynecoop Memorial Clinic's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since January 04, 2007

6203 AGENCY LOOP ROAD, WELLPINIT, WA 99040(509) 258-4517(509) 258-7152 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About David C Wynecoop Memorial Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID C WYNECOOP MEMORIAL CLINIC (NPI 1003963000) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Wellpinit, Washington and active in the NPI registry since January 2007. The organization lists William N Wiles, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1003963000

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameDAVID C WYNECOOP MEMORIAL CLINIC

Location Address6203 AGENCY LOOP ROADWellpinit, WA 99040-0357

Mailing Address6203 Agency Loop RoadWellpinit, WA 99040-0357 · (509) 258-4517 · Fax (509) 258-7152

Phone(509) 258-4517

Fax(509) 258-7152

Organization SubpartNo

Authorized OfficialWilliam N WilesAdministrative Officer · (509) 258-4517

Enumeration DateJanuary 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003963000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

Definition

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.

6203 AGENCY LOOP ROAD, Wellpinit, WA 99040

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Other Identifiers 3

OtherPH00052198WA · License

Other4926309WA · Ncpdp Number

OtherPH00044329WA · License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARGARET JULIE KOEPPING RN-BC, MN, F.N.P.

Nurse Practitioner (Family)