NPIMap

Organization Active NPI

Rosebud Sioux Tribe -CHR

  • Private Vehicle
  • Rosebud, SD
National Provider Identifier
1073867420
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
67 Issued in SD
Legal business name
ROSEBUD SIOUX TRIBE -CHR
Practice address
729 Hospital Drive
Rosebud, SD 57570
Phone
(605) 747-2316
Fax
(605) 747-5816
NPI assigned
Nov 7, 2012
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Evelyn M Espinoza, RN
Title
Health Director
Phone
(605) 747-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 67 SD Primary

Addresses

Primary practice location

729 Hospital Drive
Rosebud, SD 57570

Mailing address

PO Box 808
Rosebud, SD 57570-0808
Phone (605) 747-2316

Other identifiers 1

IdentifierTypeStateIssuer
1970640000MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Rosebud Sioux Tribe -CHR8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1073867420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700808",
            "telephone_number": "605-747-2316",
            "fax_number": "605-747-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 HOSPITAL DRIVE",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2316",
            "fax_number": "605-747-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD SIOUX TRIBE -CHR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "605-747-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SD",
            "license": "67",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970640000",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.