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Indian Health Service

Organization Active NPI General Acute Care Hospital · Rosebud, SD

NPI 1194185017 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1194185017
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
INDIAN HEALTH SERVICE
Practice address
Soldier Creek Road
Pob 400
Rosebud, SD 57570-0400
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Mar 4, 2016
Organization subpart
No

Authorized official

Name
Trina Cleveland
Title
Director of Nursing
Phone
(605) 747-3310

Corporate family (same tax ID) 9

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
PHS Hospital Rosebud Pharmacy (10 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

Soldier Creek Road
Pob 400
Rosebud, SD 57570-0400

Mailing address

400 Soldier Creek Road
Pob 400
Rosebud, SD 57570-0400
Phone (605) 747-2231

Other identifiers

IdentifierTypeStateIssuer
28211100AMedicaidSD
47526MedicaidNE
PO08936MedicaidSD
RN9197861MedicaidFL
RO281173MedicaidSD
RO402267MedicaidSD
RO43498MedicaidSD

Other names

  • Indian Health Service Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2016.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1194185017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOLDIER CREEK ROAD",
            "address_2": "POB 400",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOLDIER CREEK ROAD",
            "address_2": "POB 400",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "605-747-3310"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28211100A",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47526",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO08936",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN9197861",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO281173",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO402267",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO43498",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Health Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rosebud, SD

All providers in Rosebud, SD · General Acute Care Hospital in South Dakota

Sources for this page

Verify at the official NPI Registry.