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CANNONBALL CLINIC
NPI 1336286798
Clinic/Center - Public Health, Federal in Cannonball, ND

Active since February 01, 2007
6998 WEASEL STREET, CANNONBALL, ND 58528(701) 854-3831(701) 854-7411 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2018, Jul 19, 2017 (2 updates tracked since 2017).

About Cannonball Clinic NPPES

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

CANNONBALL CLINIC (NPI 1336286798) is a healthcare organization registered as a public health, federal in Cannonball, North Dakota and active in the NPI registry since February 2007. The organization lists Jana Rhea Gipp, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336286798
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameFORT YATES INDIAN HEALTH SERVICE HOSPITAL
Location Address6998 WEASEL STREETCannonball, ND 58528
Mailing AddressPo Box JFort Yates, ND 58538-0527 · (701) 854-3831 · Fax (701) 854-7411
Phone(701) 854-3831
Fax(701) 854-7411
Organization SubpartYes
Authorized OfficialJana Rhea GippChief Executive Officer · (701) 854-8211
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration
✔ NPI 1336286798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
6998 WEASEL STREET, Cannonball, ND 58528
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Other Names 1

Doing Business AsCannonball Clinic

Other Identifiers 1

Medicaid1459056ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

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 Fort Yates Indian Health Service Hospital's NPI number?

The NPI number for Fort Yates Indian Health Service Hospital is 1336286798. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Cannonball Clinic.

Where is Fort Yates Indian Health Service Hospital located?

Fort Yates Indian Health Service Hospital is located at 6998 Weasel Street, Cannonball, ND 58528. The listed phone number is (701) 854-3831.

What is Fort Yates Indian Health Service Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

What insurance does Fort Yates Indian Health Service Hospital accept?

Health plans from Blue Cross Blue Shield of North Dakota list Fort Yates 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 Fort Yates Indian Health Service Hospital was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.