NPIMap

Organization Active NPI

Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
National Provider Identifier
1790955128
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROSEBUD INDIAN HEALTH SERVICE
Practice address
400 Soldier Creek Road
Rosebud, SD 57570-0400
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Feb 29, 2008
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSEBUD INDIAN HEALTH SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Ms. Kathey Wilson
Title
Acting Ceo
Phone
(605) 747-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

400 Soldier Creek Road
Rosebud, SD 57570-0400

Mailing address

PO Box 400
400 Soldier Creek Road
Rosebud, SD 57570-0400
Phone (605) 747-2231

Other identifiers 4

IdentifierTypeStateIssuer
5540080MedicaidSD
0140080MedicaidSD
5549093MedicaidSD
5549520MedicaidSD

National Provider Directory

National Provider Directory
Part of
Rosebud Indian Health Service

Practitioners & affiliated clinicians

Practitioners 556

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 556

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1790955128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "address_2": "400 SOLDIER CREEK ROAD",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOLDIER CREEK ROAD",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD INDIAN HEALTH SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEBUD INDIAN HEALTH SERVICE",
        "enumeration_date": "2008-02-29",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHEY",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "605-747-2231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5540080",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140080",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549093",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5549520",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.