NPIMap

Organization Active NPI

Oglala Sioux Tribe

  • Community Health Worker
  • Rapid City, SD
National Provider Identifier
1730854043
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
OGLALA SIOUX TRIBE
Practice address
3200 Canyon Lake Drive
Rapid City, SD 57702
Phone
(605) 343-7832
Fax
(605) 355-8808
NPI assigned
Aug 10, 2021
Organization subpart
Yes
Parent organization
OGLALA SIOUX TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Ms. Deborah Zoe Chargeonhim
Title
Business Office Manager
Phone
(605) 343-7832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3200 Canyon Lake Drive
Rapid City, SD 57702

Mailing address

PO Box 9193
Rapid City, SD 57709
Phone (605) 343-7832

National Provider Directory

National Provider Directory
Tax ID family
Oglala Sioux Tribe Otitis Media11 organizations share this tax ID, including this one
Part of
Oglala Sioux Tribe Otitis Media

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1730854043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9193",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57709",
            "telephone_number": "605-343-7832",
            "fax_number": "605-355-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DRIVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57702",
            "telephone_number": "605-343-7832",
            "fax_number": "605-355-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA SIOUX TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OGLALA SIOUX TRIBE",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "CHARGEONHIM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ZOE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-343-7832",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.