FLANDREAU SANTEE SIOUX TRIBE (NPI# 1558387076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558387076 |
| Entity Type | Organization |
| Organization Name | FLANDREAU SANTEE SIOUX TRIBE |
| Other Organization Name | FLANDREAU SANTEE SIOUX TRIBAL HEALTH CLINIC PHARMACY |
| Practice Address |
403 W Broad Ave Flandreau SD 57028-1630 |
| Mailing Address |
Po Box 329 Flandreau SD 57028-0329 |
| Practice Telephone | 6059972642 |
| Practice Fax Number | 6059972586 |
| Mailing Telephone | 6059972642 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | DAVID W WALFORD (BILLER/CREDENTIALING) |
| Authorized Official Telephone | 6055734166 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLANDREAU SANTEE SIOUX TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Flandreau Santee Sioux Tribal Health Clinic Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 W Broad Ave, Flandreau, SD 570281529 | 6059972642 | 6059979940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188729 | Flandreau Santee Sioux Tribe | Clinic/Center | 403 W Broad Ave, Flandreau, SD 57028 | 2006-07-01 |
| 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 | 57028-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188729 | Flandreau Santee Sioux Tribe | Clinic/Center | 403 W Broad Ave, Flandreau, SD 57028 | 2006-07-01 |
| 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 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525864 | Spring Meds Inc | Pharmacy | 2810 W 3rd St Ste 3, Sioux Falls, SD 57104-2598 | 2020-07-17 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1205311628 | Avera Mckennan | Pharmacy | 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 | 2018-10-02 |
| 1932642428 | Brothers Pharmacies Inc | Pharmacy | 202 Island Dr Ste 2, Fort Pierre, SD 57532-7303 | 2016-12-01 |
| 1750824462 | Rambo Ltc Inc | Pharmacy | 1004 6th St Ste B, Brookings, SD 57006-2205 | 2016-11-29 |
| 1811357239 | Community Pharmacies Inc | Pharmacy | 120 Commercial Street Se, Highmore, SD 57345 | 2016-02-26 |
| 1811263106 | Lewis Family Drug LLC | Pharmacy | 1305 W Havens Ave, Mitchell, SD 57301-4116 | 2012-03-30 |
| 1962787440 | Avera Mckennan | Pharmacy | 4400 W 69th St Ste 300, Sioux Falls, SD 57108-8170 | 2011-10-17 |
| 1952629032 | Turner Drug Inc | Pharmacy | 3033 Main Street, Bowdle, SD 57428 | 2010-05-13 |
| 1033437223 | Wullstein Pharmacy Inc. | Pharmacy | 116 E Holly Blvd, Brandon, SD 57005-1114 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
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| 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.