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SISSE-WHAPETON OYATE HEALTH CARE CENTER AND SISSETON INDIAN HEALTH SER
NPI 1366471666
Clinic/Center in Sisseton, SD

Active since July 01, 2006CLIA Certified · 4 labs
100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262(605) 698-7606(605) 742-3882 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser NPPES

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

SISSE-WHAPETON OYATE HEALTH CARE CENTER AND SISSETON INDIAN HEALTH SER (NPI 1366471666) is a healthcare organization registered as a clinic/center in Sisseton, South Dakota and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Juanita Gott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366471666
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER
Location Address100 LAKE TRAVERSE DRIVESisseton, SD 57262
Mailing Address100 Lake Traverse DriveSisseton, SD 57262 · (605) 698-7606 · Fax (605) 742-3882
Phone(605) 698-7606
Fax(605) 742-3882
Organization SubpartNo
Authorized OfficialJuanita GottCeo · (605) 698-7606
Enumeration DateJuly 1, 2006
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1366471666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 LAKE TRAVERSE DRIVE, Sisseton, SD 57262
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Other Names 1

Other NameSisse-whapeton Oyate Health Care Center And Sisseton Indian Health Ser

Other Identifiers 1

Medicaid5549030SD

CLIA Laboratory Certificates CMS CLIA 4

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 Waiver 43D2202100

Woodrow Wilson Keeble Memorial Health Care Center Clinic · Sisseton, SD
Active · expires Nov 23, 2026
CLIA Number43D2202100
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorFrancine Mousseau
Laboratory Phone(605) 742-3825
Laboratory LocationWoodrow Wilson Keeble Memorial Health Care Center Clinic100 Lake Traverse Drive Attention Jae Shaun Sutton, Sisseton, SD 57262
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 43D2154486

Woodrow Wilson Keeble Memorial Health Care Center · Sisseton, SD
Active · expires Sep 12, 2026
CLIA Number43D2154486
Laboratory TypePharmacy
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorLori Braaten
Laboratory Phone(605) 742-3795
Laboratory LocationWoodrow Wilson Keeble Memorial Health Care Center100 Lake Traverse Drive Atten Pharmacy, Sisseton, SD 57262
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 43D2163942

Woodrow Wilson Keeble Memorial Health Care Center · Sisseton, SD
Active · expires Mar 24, 2027
CLIA Number43D2163942
Laboratory TypeHealth Fair
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorTracey Cooper
Laboratory Phone(605) 742-3767
Laboratory LocationWoodrow Wilson Keeble Memorial Health Care Center100 Traverse Drive Attn Tracy Cooper, Sisseton, SD 57262
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 43D0407386

Woodrow Wilson Keeble Memorial Health Care Center · Sisseton, SD
Active · expires Jan 2, 2027
CLIA Number43D0407386
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorStephanie Dahlman
Laboratory Phone(605) 742-3792
Laboratory LocationWoodrow Wilson Keeble Memorial Health Care CenterAttn Laboratory 100 Lake Traverse Drive, Sisseton, SD 57262
CLIA data matches this NPI record on: Name
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 5

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

MRS. KATIE ELAINE BRAGG R.N.
Registered Nurse
100 LAKE TRAVERSE DRIVE, WWKMHCC INDIAN HEALTH SERVICE
SISSETON, SD 57262
Roberts County (605) 698-7606
DR. JOHN THOMAS ZIMMER DDS
Dentist (Pediatric Dentistry)
100 LAKE TRAVERSE DRIVE
SISSETON, SD 57262
Roberts County (605) 742-3676
JAMES BRIAN MOELLER MT
Specialist/Technologist, Pathology (Medical Technologist)
100 LAKE TRAVERSE DRIVE
SISSETON, SD 57262
Roberts County (605) 742-3792
MS. VALINDA JEANNE REDWING WHITE
Nutritionist
100 LAKE TRAVERSE DRIVE
SISSETON, SD 57262
Roberts County (605) 742-3631
LEAH ADELE WEISS PHARMD
Pharmacist
100 LAKE TRAVERSE DRIVE, ATTN: PHARMACY
SISSETON, SD 57262
Roberts County (605) 742-3795

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 Woodrow Wilson Keeble Memorial Health Care Center's NPI number?

The NPI number for Woodrow Wilson Keeble Memorial Health Care Center is 1366471666. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is also known as Sisse-Whapeton Oyate Health Care Center And Sisseton Indian Health Ser.

Where is Woodrow Wilson Keeble Memorial Health Care Center located?

Woodrow Wilson Keeble Memorial Health Care Center is located at 100 Lake Traverse Drive, Sisseton, SD 57262. The listed phone number is (605) 698-7606.

What is Woodrow Wilson Keeble Memorial Health Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Woodrow Wilson Keeble Memorial Health Care Center hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Woodrow Wilson Keeble Memorial Health Care Center was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.