Oglala Sioux Lakota Housing

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

OGLALA SIOUX LAKOTA HOUSING

Practice address

4 Suanne Center Dr
Pine Ridge, SD 57770-3272

Phone

(605) 867-5161

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Ramon Bear Runner, MPA

Title

Ceo

Phone

(605) 441-5768

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1508580770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577700603",
            "telephone_number": "605-867-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUANNE CENTER DR",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577703272",
            "telephone_number": "605-867-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA SIOUX LAKOTA HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "BEAR RUNNER",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-441-5768",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Ofelia Nunez, RDH
• Steven O'Leary, RN
• Adaobi Stella Obika, PHARMD
• David Kings Oginni
• Oglala Lakota Air Rescue, LLC
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe Health Administration

• Community Health Worker in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Community Health Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.