NPIMap

Organization Active NPI

Aberdeen Area Tribal Chairmans Health Board

  • Case Management Agency
  • St Michael, ND
National Provider Identifier
1104042266
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ABERDEEN AREA TRIBAL CHAIRMANS HEALTH BOARD
Practice address
303 Bellisle
St Michael, ND 58370
Phone
(701) 766-1244
Fax
(701) 766-1245
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Ms. Sunny Colmbe, MBA
Title
Cfo
Phone
(605) 721-1922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X ND Primary
Non-emergency Medical Transport (VAN) 343900000X ND

Addresses

Primary practice location

303 Bellisle
St Michael, ND 58370

Mailing address

1770 Rand Rd
Rapid City, SD 57702
Phone (605) 721-1922

Other identifiers 1

IdentifierTypeStateIssuer
54897MedicaidND

Other names 1

  • Spirit Lake Healthy Start Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aberdeen Area Tribal Chairmans Health Board5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1770 Rand Rd
Rapid City, SD 57702
Phone (605) 791-1514

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1104042266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 RAND RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57702",
            "telephone_number": "605-721-1922",
            "fax_number": "605-721-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BELLISLE",
            "city": "ST MICHAEL",
            "state": "ND",
            "postal_code": "58370",
            "telephone_number": "701-766-1244",
            "fax_number": "701-766-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN AREA TRIBAL CHAIRMANS HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "COLMBE",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-721-1922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ND",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ND",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54897",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit Lake Healthy Start",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Michael, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.