NPIMap

Organization Active NPI

Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
National Provider Identifier
1427419282
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ROSEBUD INDIAN HEALTH SERVICE
Practice address
400 Soldier Creek Road
Rosebud, SD 57570-0400
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Trina Cleveland
Title
Acting Director of Nursing
Phone
(605) 747-2231

Specialties & licenses 1

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

Addresses

Primary practice location

400 Soldier Creek Road
Rosebud, SD 57570-0400

Mailing address

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

Other identifiers 13

IdentifierTypeStateIssuer
RN9373863MedicaidFL
RO3269950MedicaidSD
RO42551MedicaidSD
076576MedicaidPR
78357MedicaidWV
27189MedicaidPR
70519MedicaidPR
73309MedicaidPR
RO44156MedicaidSD
RO43498MedicaidSD
RO76686MedicaidSD
2013038502MedicaidMO
RO40431MedicaidSD

Other names 1

  • Rosebud Hospital Former legal business name

Care Compare: Hospital

Medicare Care Compare
Listed as
PHS Indian Hospital at RosebudCCN 430084
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0880867Nursing Services Rosebud Hospital400 Soldier Creek Road, Rosebud, SD 57570Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
PHS Hospital Rosebud Pharmacy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 80

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1427419282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOLDIER CREEK ROAD",
            "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": "400 SOLDIER CREEK ROAD",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "ACTING DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "605-747-2231"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN9373863",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO3269950",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO42551",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076576",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78357",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27189",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70519",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73309",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO44156",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO43498",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO76686",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013038502",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO40431",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.