NPIMap

Organization Active NPI

Fort Yates Indian Health Service Hospital

  • Clinic/Center
  • McLaughlin, SD
National Provider Identifier
1710037288
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Practice address
701 East 6TH Street
McLaughlin, SD 57642-0879
Phone
(605) 823-4458
Fax
(605) 823-2016
NPI assigned
Jan 10, 2007
Organization subpart
Yes
Parent organization
FORT YATES INDIAN HEALTH SERVICE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Trina Lou Fischer
Title
Business Office Manager
Phone
(605) 823-2615

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Federal Public Health Clinic/Center 261QP0904X

Addresses

Primary practice location

701 East 6TH Street
McLaughlin, SD 57642-0879

Mailing address

PO Box 879
McLaughlin, SD 57642-0879
Phone (605) 823-4458

Other identifiers 3

IdentifierTypeStateIssuer
002331MedicaidND
5540010MedicaidSD
1460889MedicaidND

Other names 1

  • MCLAUGHLIN INDIAN HEALTH SERVICE HEALTH CENTER Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090116000441 TX Part B Supplier - Clinic/Group Practice 9032287008 Receives reassigned benefits from 8 practitioners
Practice locations: McLaughlin, SD

National Provider Directory

National Provider Directory
Part of
Fort Yates IHS Hospital

Locations

115 4th Ave SE
Ste 309
Aberdeen, SD 57401
Phone (605) 226-7341

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1710037288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "MCLAUGHLIN",
            "state": "SD",
            "postal_code": "576420879",
            "telephone_number": "605-823-4458",
            "fax_number": "605-823-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST 6TH STREET",
            "city": "MCLAUGHLIN",
            "state": "SD",
            "postal_code": "576420879",
            "telephone_number": "605-823-4458",
            "fax_number": "605-823-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT YATES INDIAN HEALTH SERVICE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT YATES INDIAN HEALTH SERVICE HOSPITAL",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-823-2615"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002331",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5540010",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460889",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLAUGHLIN INDIAN HEALTH SERVICE HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MCLAUGHLIN INDIAN HEALTH SERVICE HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McLaughlin, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.