FORT THOMPSON INDIAN HEALTH SERVICE (NPI# 1710995907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710995907 |
| Entity Type | Organization |
| Organization Name | FORT THOMPSON INDIAN HEALTH SERVICE |
| Practice Address |
Hwy 34 & 47 Fort Thompson SD 57339-0200 |
| Practice Telephone | 6052451500 |
| Practice Fax Number | 6052452384 |
| Mailing Telephone | 6052451500 |
| Mailing Fax Number | 6052452384 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MADONNA M LONG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6052451500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5549010 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FORT THOMPSON INDIAN HEALTH SERVICE HEALTH CENTER , THE | 1323 Via Route 4, Fort Thompson, SD 57339 |
| Street Address |
HWY 34 & 47 |
| City | FORT THOMPSON |
| State | SD |
| Zip Code | 57339-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235155474 | Sherry Lee Lulf | Registered Nurse | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2006-07-14 |
| 1154576536 | Catherine M Grubbs | Licensed Practical Nurse | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2008-11-26 |
| 1467583732 | Margaret P Brown | Registered Nurse | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2007-03-08 |
| 1740398312 | Robert Carl Douville II | Registered Nurse | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2006-08-25 |
| 1588671598 | Judy Marie West | Radiologic Technologist | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2006-08-02 |
| 1629092879 | Rose A Riley | Dentist | Hwy 34 & 47, Fort Thompson, SD 57339-0200 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| Find all providers in zip 57339 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
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|---|---|---|---|---|
| 1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
| 1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
| 1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
| 1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT THOMPSON |
| Zip Code | 57339 |
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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.