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WANBLEE HEALTH CENTER
NPI 1174653752
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wanblee, SD

Active since March 06, 2007CLIA 43D0876870 · Accreditation
210 1ST ST, WANBLEE, SD 57577(605) 462-6155(605) 462-6551 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanblee Health Center NPPES

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

WANBLEE HEALTH CENTER (NPI 1174653752) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Wanblee, South Dakota and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through November 1, 2026 and lists James Cummings, Pharmacy Program Specialist, as its authorized official.

NPPES Registry Identity

NPI1174653752
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NamePINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Location Address210 1ST STWanblee, SD 57577
Mailing Address3120 Solutions CtrChicago, IL 60677-3001
Phone(605) 462-6155
Fax(605) 462-6551
Organization SubpartYes
Authorized OfficialJames CummingsPharmacy Program Specialist · (405) 951-6086
Enumeration DateMarch 6, 2007
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1174653752 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.

210 1ST ST, Wanblee, SD 57577
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Other Names 1

Doing Business AsWanblee Health Center

Other Identifiers 2

Other4304907Ncpdp Provider Identification Number
Medicaid5540040SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0876870

Wanblee Health Ctr - Pine Ridge · Wanblee, SD
Active · expires Nov 1, 2026
CLIA Number43D0876870
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorMr. Wyatt White Horse
Laboratory Phone(605) 462-6155
Laboratory LocationWanblee Health Ctr - Pine RidgeBox 290, Wanblee, SD 57577
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

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

MRS. CINDY LOU RHEAULT RPH
Pharmacist
210 1ST ST
WANBLEE, SD 57577
Jackson County (605) 462-6155
PINE RIDGE INDIAN HEALTH SERVICE
Clinic/Center
210 1ST ST
WANBLEE, SD 57577
Jackson County (605) 462-6155
MRS. ANITA MARIE MASAITIS DMD
Dentist
210 1ST ST, WANBLEE HEALTH CENTER
WANBLEE, SD 57577
Jackson County (605) 462-5630
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Clinic/Center
210 1ST ST
WANBLEE, SD 57577
Jackson County (605) 462-6155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Ridge Indian Health Service Hospital's NPI number?

The NPI number for Pine Ridge Indian Health Service Hospital is 1174653752. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Wanblee Health Center.

Where is Pine Ridge Indian Health Service Hospital located?

Pine Ridge Indian Health Service Hospital is located at 210 1st St, Wanblee, SD 57577. The listed phone number is (605) 462-6155.

What is Pine Ridge Indian Health Service Hospital'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.

Does Pine Ridge Indian Health Service Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0876870) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Ridge Indian Health Service Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Pine Ridge Indian Health Service Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pine Ridge Indian Health Service Hospital was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.