ROSEBUD INDIAN HEALTH SERVICE – NPI #1790955128
Clinic/Center

ROSEBUD INDIAN HEALTH SERVICE is an AHC clinic located in ROSEBUD, SD. NPPES has assigned the NPI number 1790955128 to ROSEBUD INDIAN HEALTH SERVICE on February 29, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Sep 04, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROSEBUD INDIAN HEALTH SERVICE below.

NPI Profile for
ROSEBUD INDIAN HEALTH SERVICE

NPI Number
1790955128
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROSEBUD INDIAN HEALTH SERVICE
Primary location
400 SOLDIER CREEK ROAD
ROSEBUD, SD 57570-0400
Phone: (605) 747-2231 Fax: (605) 747-2216
Mailing address
PO BOX 400
400 SOLDIER CREEK ROAD
ROSEBUD, SD 57570-0400
Phone: (605) 747-2231 Fax: (605) 747-2216
Organization Subpart
Yes - ROSEBUD INDIAN HEALTH SERVICE is subpart of another organization.
Authorized Official
KATHEY WILSON
ACTING CEO
Phone: (605) 747-2231
Updated
Identifiers

Identifiers for ROSEBUD INDIAN HEALTH SERVICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSD5540080
MEDICAIDSD5549520
MEDICAIDSD0140080
MEDICAIDSD5549093
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.