INDIAN HEALTH SERVICE (NPI# 1922337716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922337716 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH SERVICE |
| Practice Address |
3500 Canyon Lake Dr Rapid City SD 57702-3118 |
| Mailing Address |
120 Grand Blvd Rapid City SD 57701-5647 |
| Practice Telephone | 6053552500 |
| Practice Fax Number | 6053552553 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | MISS DONNA HUBER (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 6053552500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | SD | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527668 | Indian Health Service | Clinic/Center | 121 Mission Avenue, Saint Xavier, MT 59075-0114 | 2014-07-28 |
| 1053653667 | Indian Health Service | General Acute Care Hospital | 26045 U.S. Hwy 18, Rosebud, SD 57570-0400 | 2013-03-21 |
| 1487905691 | Indian Health Service | Clinical Medical Laboratory | 4109 Galena St Se, Lacey, WA 98503-2187 | 2012-09-27 |
| 1134313232 | Indian Health Service | Clinic/Center | Rustling Willow, Complex D, Towaoc, CO 81334-0049 | 2007-08-31 |
| 1033313879 | Indian Health Service | Radiologic Technologist | 1030 Blue Sage Ct, Hardin, MT 59034-2257 | 2007-06-14 |
| 1770518532 | Indian Health Service | Clinic/Center | Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514-0128 | 2006-07-11 |
| 1194185017 | Indian Health Service | General Acute Care Hospital | Soldier Creek Road, Pob 400, Rosebud, SD 57570-0400 | 2016-03-04 |
| 1457716227 | Indian Health Service | Clinic/Center | 107 H Street E, Poplar, MT 59255 | 2015-12-22 |
| 1063811354 | Indian Health Service | General Acute Care Hospital | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-08-22 |
| 1144523481 | Indian Health Service | Clinic/Center | 10110 South 7650 East, Crow Agency, MT 59022 | 2010-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICE | 3349 B Thrasher Rd, White Cloud, KS 66094-4005 |
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICES/RURAL DEVELOPMENT | 103 E Walnut St, Whiteriver, AZ 85941 |
| Street Address |
3500 CANYON LAKE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245518992 | Sioux San Hospital | General Acute Care Hospital | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-07-29 |
| 1831338722 | Rapid City Regional Hospital | General Acute Care Hospital | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2009-02-17 |
| 1316900327 | Rapid City Indian Health Service Hospital | General Acute Care Hospital | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2006-04-10 |
| 1790748226 | Rapid City Ihs Hospital | General Acute Care Hospital | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1407108053 | Sanford Health | General Acute Care Hospital | 3401 W 49th St Ste 2, Sioux Falls, SD 57106-2369 | 2012-10-05 |
| 1356663256 | Pine Ridge Ihs | General Acute Care Hospital | 1201 East Hwy 18, Pine Ridge, SD 57770-1201 | 2010-02-18 |
| 1558594192 | Maria Klamm | General Acute Care Hospital | 1210 W 18th St Ste Ll01, Sioux Falls, SD 57104-4655 | 2009-08-31 |
| 1184844391 | Deana Gipp | General Acute Care Hospital | 317 North Main Steet, Eagle Butte, SD 57625 | 2007-04-27 |
| 1952371676 | Holy Infant Hospital | General Acute Care Hospital | 512 Main Street, Hoven, SD 57450 | 2006-01-25 |
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1275515579 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2474 | 2005-11-14 |
| 1023003969 | Heart Hospital of South Dakota LLC | General Acute Care Hospital | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2005-09-16 |
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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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.