NPIMap

Organization Active NPI

Rosebud Sioux Tribe Ambulance Service

  • Paramedic
  • Rosebud, SD
National Provider Identifier
1972640381
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
601 Issued in SD
Legal business name
ROSEBUD SIOUX TRIBE AMBULANCE SERVICE
Practice address
15 Circle Dr
Rosebud, SD 57570
Phone
(605) 747-2633
NPI assigned
Feb 1, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
C Steve Brave
Title
Director
Phone
(605) 747-2633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 601 SD Primary
Intermediate Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146M00000X 601 SD
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X 601 SD

Addresses

Primary practice location

15 Circle Dr
Rosebud, SD 57570

Mailing address

15 Circle Dr
PO Box 200
Rosebud, SD 57570
Phone (605) 747-2633

Other identifiers 3

IdentifierTypeStateIssuer
9010690MedicaidSD
0099240OtherSDINSURANCE
9515314MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100821000010 SD Part B Supplier - Ambulance Service Supplier 8729112040 Practice locations: Rosebud, SD

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
43D1050024Rosebud Sioux Tribe Ambulance Service15 Circle Drive, Rosebud, SD 57570Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rosebud Sioux Tribe -CHR8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972640381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CIRCLE DR",
            "address_2": "PO BOX 200",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CIRCLE DR",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD SIOUX TRIBE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRAVE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-747-2633"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SD",
            "license": "601",
            "primary": true
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "SD",
            "license": "601",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "SD",
            "license": "601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010690",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "0099240",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9515314",
            "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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.