FLANDREAU SANTEE SIOUX TRIBE (NPI# 1437188729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437188729 |
| Entity Type | Organization |
| Organization Name | FLANDREAU SANTEE SIOUX TRIBE |
| Practice Address |
403 W Broad Ave Flandreau SD 57028 |
| Mailing Address |
Po Box 329 Flandreau SD 57028-0329 |
| Practice Telephone | 6059972642 |
| Practice Fax Number | 6059972225 |
| Mailing Telephone | 6059972642 |
| Mailing Fax Number | 6059972225 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DAVID W WALFORD (BILLER/ CREDENTIALING) |
| Authorized Official Telephone | 6505735166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5546010 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 West Broad Ave, Flandreau, SD 57028 | 6059972642 | 6059979940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558387076 | Flandreau Santee Sioux Tribe | Pharmacy | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2006-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLANDREAU SANTEE SIOUX TRIBE | 603 W Broad Ave, Flandreau, SD 57028-1531 |
| Street Address |
403 W BROAD AVE |
| City | FLANDREAU |
| State | SD |
| Zip Code | 57028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162430 | Tessah Renee Bien | Nurse Practitioner | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2020-04-08 |
| 1043841885 | Gina Teresa Johanson | Pharmacist | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2020-01-30 |
| 1427605880 | Chantelle Blue Arm | Social Worker | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2019-08-21 |
| 1558387076 | Flandreau Santee Sioux Tribe | Pharmacy | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689865081 | John Roy Sivesind | Psychologist | 107 W Broad Ave, Flandreau, SD 57028 | 2007-08-09 |
| 1649200189 | James Shaeffer | Family Medicine | 701 West Broad Ave, Flandreau, SD 57028 | 2006-07-03 |
| 1629018445 | Clay Joseph Pavlis | Psychiatry & Neurology | 809 W Pipestone Ave Ste 8, Flandreau, SD 57028 | 2006-06-08 |
| 1851729552 | Midwest Wellness Institute, Pllc | Clinic/Center | 809 W Pipestone Ave Ste 8, Flandreau, SD 57028 | 2013-10-16 |
| 1407993165 | Flandreau School District #50-3 | Local Education Agency (LEA) | 600 W Community Dr, Flandreau, SD 57028-1060 | 2007-01-31 |
| 1447807466 | Kali Marie Ahlers | Psychologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-23 |
| 1487200291 | Suzannah Eileen Cleveland | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-16 |
| 1043785496 | Adriane Voisin | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-10-11 |
| 1922598770 | Katherine E Krystosek | Specialist/Technologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-05-17 |
| 1124000286 | Dr. Steven L. Headrick, P.C. | Chiropractor | 109 E 2nd Ave, Flandreau, SD 57028-1222 | 2005-11-15 |
| Find all providers in zip 57028 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279624 | Bethesda Home of Aberdeen, Inc. | Clinic/Center | 1425 15th Ave Se, Aberdeen, SD 57401-7726 | 2019-05-09 |
| 1689185860 | Adult Day Center of The Black Hills | Clinic/Center | 4110 Winfield Ct, Rapid City, SD 57701-8306 | 2017-10-16 |
| 1134340292 | Health Management Services | Clinic/Center | 501 Summit St, Yankton, SD 57078-3855 | 2007-05-02 |
Please comment or provide details below to improve the information on FLANDREAU SANTEE SIOUX TRIBE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.