Great Palins Tribal Leaders Health Board

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GREAT PALINS TRIBAL LEADERS HEALTH BOARD

Practice address

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Phone

(605) 691-2496

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Shaun Phillip Arsaga, RN

Title

Lead Nurse

Phone

(605) 691-2496

Specialties & licenses 3

Addresses

Other names 1

• Great Palins Tribal Leaders Health Board Other name

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1396543849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028114",
            "telephone_number": "605-691-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028114",
            "telephone_number": "605-691-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PALINS TRIBAL LEADERS HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ARSAGA",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "LEAD NURSE",
        "authorized_official_telephone_number": "605-691-2496",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Palins Tribal Leaders Health Board",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barry Gravatt
• Frances Marie Gray, RN
• Katelynn Marie Gray, CNP
• Shawna Gray, BS
• Teresa Lynn Gray, M.A. CCC-SLP
• Great Plains Tribal Chairmen'S Health Board
• Great Plains Tribal Chairmen'S Health Board
• Great Plains Tribal Chairmen'S Health Board
• Great Plains Tribal Chairmen'S Health Board
• Green Bakers Is the Place to Be

• Primary Care Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Primary Care Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.