TRIBAL CLINIC (NPI# 1578790986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578790986 |
| Entity Type | Organization |
| Organization Name | TRIBAL CLINIC |
| Practice Address |
701 W Broad Ave Flandreau SD 57028-1529 |
| Practice Telephone | 6059973844 |
| Practice Fax Number | 6059973694 |
| Mailing Telephone | 6059973844 |
| Mailing Fax Number | 6059973694 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |
| Authorized Official Name | ELIZABETH A SHORTMAN (MANAGED CARE/CHS SUPERVISOR) |
| Authorized Official Telephone | 6059972642 |
| Authorized Official Credential | CHS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | LPC-MH2183 | SD | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIBAL CLINIC | 701 W Broad Ave, Flandreau, SD 57028-1529 |
| Street Address |
701 W BROAD AVE |
| City | FLANDREAU |
| State | SD |
| Zip Code | 57028-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457377970 | Sheryl L Vaske | Pharmacist | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2006-07-15 |
| 1578934394 | Abbey Jo Kitto | Nurse Practitioner | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2015-10-20 |
| 1114321528 | Amanda Mcmillan | Nurse Practitioner | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2014-10-14 |
| 1366779969 | Maurin Kay Fisher | Dietitian, Registered | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2009-11-03 |
| 1639229255 | Jeffery Lee Peterson | Family Medicine | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2007-01-12 |
| 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 |
| 1437188729 | Flandreau Santee Sioux Tribe | Clinic/Center | 403 W Broad Ave, Flandreau, SD 57028 | 2006-07-01 |
| 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 |
| Find all providers in zip 57028 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083054357 | Abigail Berger | Health Maintenance Organization | 6915 W Westminster Dr, Sioux Falls, SD 57106-3240 | 2013-07-01 |
| 1528206810 | Mbk Inc | Health Maintenance Organization | 17444 Meadow Lake Rd, Watertown, SD 57201-9181 | 2009-01-26 |
| 1518125244 | Springfield Assisted Living Center | Health Maintenance Organization | 701 Pine St, Springfield, SD 57062-2129 | 2008-05-29 |
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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.