NPIMap

Organization Active NPI

Flandreau Santee Sioux Tribe

Doing business as FSST Care Center

  • Nursing Facility/Intermediate Care Facility
  • Flandreau, SD
National Provider Identifier
1972210862
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
FLANDREAU SANTEE SIOUX TRIBE
Doing business as
FSST Care Center
Practice address
909 Jones Dr
Flandreau, SD 57028
Phone
(605) 573-2100
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FLANDREAU SANTEE SIOUX TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Mrs. Kassandra Doty
Title
Admin
Phone
(605) 573-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

909 Jones Dr
Flandreau, SD 57028

Mailing address

909 S Jones Drive
Flandreau, SD 57028
Phone (605) 573-2100

Other names 1

  • FSST Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2275183Flandreau Santee Sioux Tribe Care Center909 Jones Dr, Flandreau, SD 57028Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Flandreau Santee Sioux4 organizations share this tax ID, including this one
Part of
Flandreau Santee Sioux

Other organizations with this tax ID 3

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

Locations

909 Jones Dr
Flandreau, SD 57028
Phone (605) 573-2100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1972210862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S JONES DRIVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "57028",
            "telephone_number": "605-573-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 JONES DR",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "57028",
            "telephone_number": "605-573-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLANDREAU SANTEE SIOUX TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLANDREAU SANTEE SIOUX TRIBE",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "605-573-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSST Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flandreau, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.