NPIMap

Organization Active NPI

Cheyenne River Sioux Tribe Field Health Clinic

  • Primary Care Clinic/Center
  • Eagle Butte, SD
National Provider Identifier
1457593725
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Practice address
24276 166TH St
Eagle Butte, SD 57625-8141
Phone
(605) 964-0785
Fax
(605) 964-1062
NPI assigned
Apr 1, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Ramona Simon, RN
Title
Tribal Health Ceo
Phone
(605) 964-0785

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 11

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

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne River Sioux Tribe Behavorial Health (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

NPPES NPI Registry

Primary practice location

24276 166TH St
Eagle Butte, SD 57625-8141

Mailing address

PO Box 590
Eagle Butte, SD 57625
Phone (605) 964-8919

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5546290MedicaidSD
5549300MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2022.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1457593725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "57625",
            "telephone_number": "605-964-8919",
            "fax_number": "605-964-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 166TH ST",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576258141",
            "telephone_number": "605-964-0785",
            "fax_number": "605-964-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "TRIBAL HEALTH CEO",
        "authorized_official_telephone_number": "605-964-0785",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5546290",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Butte, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.