Standing Rock Indian Health Service

Primary specialty

PharmacistTaxonomy code 183500000X

License

4949 Issued in ND

Legal business name

STANDING ROCK INDIAN HEALTH SERVICE

Practice address

10 North River Rd
Fort Yates, ND 58538

Phone

(701) 854-3831

Fax

(701) 854-3523

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Guardipee

Title

Ceo

Phone

(701) 854-3831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194846949. Details of each certification follow.

• CCN 350064 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 350064

Legal name

STANDING ROCK INDIAN HEALTH SERVICE HOSPITAL

Certification status

Terminated Other: provider status change, Oct 28, 2021

Provider type (POS)

Hospital – Short-term

Participating since

Mar 31, 1977

Last certification

Aug 6, 2009

Beds

12

Ownership / control type

Federal

Facility address

10 North River Road
Fort Yates, ND 58538

Tax ID family

PHS IHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• PHS IHS

  • Clinic/Center
  • Ogema, MN
  • NPI 1295988327
  NPD tax ID

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194846949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NORTH RIVER RD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-3831",
            "fax_number": "701-854-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NORTH RIVER RD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-3831",
            "fax_number": "701-854-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING ROCK INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUARDIPEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-854-3831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian Richard Schaubert, LRD
• Helen M Silk, RN
• Xtal Silk, LPN
• Aurelia R Snider, LPN
• Standing Rock Early Childhood Tracking Program
• Standing Rock Public Transportation
• Standing Rock Sioux Tribe (Standing Rock Sioux Tribe CHR Program NEMT)
• Standing Rock Sioux Tribe (Standing Rock Ambulance Service)
• Standing Rock Sioux Tribe (Standing Rock Sioux Tribe CHR Program)
• Standing Rock Sioux Tribe (Standing Rock Sioux Tribe Wellness Program)

• Pharmacist in Fort Yates, ND
• Providers in Fort Yates, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.