NPIMap

Organization Active NPI

Cheyenne River Sioux Tribe

  • Durable Medical Equipment & Medical Supplies
  • Eagle Butte, SD
National Provider Identifier
1659530707
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20-001-E-ST Issued in SD
Legal business name
CHEYENNE RIVER SIOUX TRIBE
Practice address
24276 166TH St
Eagle Butte, SD 57625-8141
Phone
(605) 964-0772
Fax
(605) 964-1176
NPI assigned
Jun 4, 2008
Organization subpart
Yes
Parent organization
CHEYENNE RIVER SIOUX TRIBEAs reported in NPPES

Authorized official

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

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)
Part of
Cheyenne River Sioux Tribe Behavorial Health

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20-001-E-ST SD Primary

Addresses

NPPES NPI Registry

Primary practice location

24276 166TH St
Eagle Butte, SD 57625-8141

Mailing address

PO Box 590
Eagle Butte, SD 57625-0590
Phone (605) 964-4843

Other names 1

NPPES NPI Registry
  • Diabetes Program Doing business as

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": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1659530707",
    "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": "576250590",
            "telephone_number": "605-964-4843",
            "fax_number": "605-964-1176"
        },
        {
            "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": "605-964-0772",
            "fax_number": "605-964-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE RIVER SIOUX TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE RIVER SIOUX TRIBE",
        "enumeration_date": "2008-06-04",
        "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": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "20-001-E-ST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetes Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.