NPIMap

Organization Active NPI

South Dakota Urban Indian Health, Inc. Sduih

  • Federally Qualified Health Center (FQHC)
  • Pierre, SD
National Provider Identifier
1295807568
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Practice address
339 S Pierre St
Pierre, SD 57501-2438
Phone
(605) 224-8841
Fax
(605) 224-6852
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Karla Kirkpatrick
Title
Business Office Manager
Phone
(605) 224-8841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

339 S Pierre St
Pierre, SD 57501-2438

Mailing address

1714 Abbey Rd
Pierre, SD 57501-7805
Phone (605) 224-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090227000130 SD Part B Supplier - Clinic/Group Practice 8820182058 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pierre, SD; Sioux Falls, SD
O20090605000378 SD Part A Provider - Federally Qualified Health Center (FQHC) 8820182058 Practice locations: Pierre, SD

Federally qualified health center certification: CCN 431818

Legal name
SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 8, 1996
Last certification
Feb 8, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 6, 1977 in SD
Enrollment address
339 S Pierre St
Pierre, SD 57501-2438

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
South Dakota Urban Indian Health Inc Sduih6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Colette Keith Individual Corporate DirectorExecutive Director Jun 17, 2025
W-2 Managing EmployeeAd; Jun 17, 2025
Stacia Nissen Individual Corporate DirectorIt Site Manager/Cac Nov 2, 2024
South Dakota Urban Indian Health, Inc. Sduih Organization, Pierre, SD Non-profit Operational/Managerial Control Feb 5, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Dakota Urban Indian Health, Inc. SduihSioux Falls, SD, CCN 431820 Federally qualified health center Operational/Managerial Control Feb 5, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1295807568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 ABBEY RD",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575017805",
            "telephone_number": "605-224-8841",
            "fax_number": "605-224-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 S PIERRE ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012438",
            "telephone_number": "605-224-8841",
            "fax_number": "605-224-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-224-8841"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.