Crow Creek Department of Public Safety

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

CROW CREEK DEPARTMENT OF PUBLIC SAFETY

Practice address

206 E. Samboy Drive
206 E. Samboy
Fort Thompson, SD 57339-0409

Phone

(605) 245-2779

Fax

(605) 245-2182

NPI assigned

Dec 11, 2025

Organization subpart

No

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

Authorized official

Name

Thomas Wayne Thompson

Title

Director

Phone

(605) 245-2779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1659235968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "address_2": "206 E. SAMBOY",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390409",
            "telephone_number": "605-478-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E. SAMBOY DRIVE",
            "address_2": "206 E. SAMBOY",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390409",
            "telephone_number": "605-245-2779",
            "fax_number": "605-245-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROW CREEK DEPARTMENT OF PUBLIC SAFETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-245-2779"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Marie Baldwin, RN
• Nicole Lynn Bamberg, CNP
• Francesca B Benson, RDN, LN
• George R Brenneman, MD
• Heather Burull, RN
• Crow Creek Sioux Tribe
• Robert Carl Douville II, RN
• Helen Ranea Eimers, RN
• Mashaya Engel
• David Brian Foley, DDS

• Community Health Worker in Fort Thompson, SD
• Providers in Fort Thompson, 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 Dec 11, 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.