ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM (NPI# 1063602365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063602365 |
| Entity Type | Organization |
| Organization Name | ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM |
| Practice Address |
#7 Hospital Lane Rosebud SD 57570 |
| Mailing Address |
Po Box 348, #7 Hospital Lane Rosebud SD 57570 |
| Practice Telephone | 6057472342 |
| Practice Fax Number | 6057472111 |
| Mailing Telephone | 6057472342 |
| Mailing Fax Number | 6057472111 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | MS. MARCIDA BEATRICE EAGLE BEAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6057472342 |
| Authorized Official Credential | M.A., CCDCIII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9515310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225208010 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Substance Abuse Rehabilitation Facility | # 7 Hospital Lane, Rosebud, SD 57570-0348 | 2008-03-07 |
| Street Address |
#7 HOSPITAL LANE |
| City | ROSEBUD |
| State | SD |
| Zip Code | 57570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
| 1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| 1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
| 1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
| 1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
| 1053441626 | Rosebud Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 18 400 Soldier Creek Rd, Rosebud, SD 57570 | 2007-03-06 |
| Find all providers in zip 57570 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734696 | Sisseton-wahpeton Oyate | Private Vehicle | 12554 Bia Hwy 711, Agency Village, SD 57262 | 2018-06-20 |
| 1386060077 | Axtman Inc | Private Vehicle | 5009 S Western Ave Ste 220, Sioux Falls, SD 57108-5084 | 2014-03-05 |
| 1396027256 | A Grade Cleaing and Transportation | Private Vehicle | 2809 N Oak Rd, Brandon, SD 57005-1037 | 2011-09-15 |
| 1154476810 | Sesdac, Inc. | Private Vehicle | 1314 E Cherry St, Vermillion, SD 57069-1606 | 2007-01-24 |
Please comment or provide details below to improve the information on ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.