NPIMap

Organization Active NPI

Fort Thompson Indian Health Service

  • Community Health Worker
  • Fort Thompson, SD
National Provider Identifier
1306583372
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
FORT THOMPSON INDIAN HEALTH SERVICE
Practice address
1323 Bia RT 4
Fort Thompson, SD 57339
Phone
(605) 245-1559
NPI assigned
May 19, 2022
Organization subpart
Yes
Parent organization
FORT THOMPSON INDIAN HEALTH SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Kellie Lynn Taylor
Title
Business Office Manager
Phone
(605) 245-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

1323 Bia RT 4
Fort Thompson, SD 57339

Mailing address

1323 Bia RT 4
Fort Thompson, SD 57339
Phone (605) 245-1559

Other names 1

  • Fort Thompson Indian Health Service Community Health Worker Other name

National Provider Directory

National Provider Directory
Tax ID family
Ft Thompson Indian HLTH SVC4 organizations share this tax ID, including this one
Part of
Ft Thompson Indian HLTH SVC

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1306583372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 BIA RT 4",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "57339",
            "telephone_number": "605-245-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BIA RT 4",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "57339",
            "telephone_number": "605-245-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT THOMPSON INDIAN HEALTH SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT THOMPSON INDIAN HEALTH SERVICE",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-245-1559"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Thompson Indian Health Service Community Health Worker",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Thompson, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.