RAPID CITY INDIAN HEALTH SERVICE (NPI# 1184753337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184753337 |
| Entity Type | Organization |
| Organization Name | RAPID CITY INDIAN HEALTH SERVICE |
| Other Organization Name | RAPID CITY IHS HOSPITAL PHARMACY |
| Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
| Mailing Address |
3130 Solutions Ctr Chicago IL 60677-3001 |
| Practice Telephone | 6053552392 |
| Practice Fax Number | 6053552565 |
| Mailing Telephone | 6053552358 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4304919 | 01 | |
| SD | 5549050 | 05 |
| Other Name | Type Code |
|---|---|
| RAPID CITY IHS HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RAPID CITY INDIAN HEALTH SERVICE HOSPITAL | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 |
| Street Address |
3200 CANYON LAKE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566014 | Linnea Ann Putnam | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2005-05-28 |
| 1588201404 | Rachel Paulsen | Nurse Practitioner | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-12-10 |
| 1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1205344660 | Ethan A Harris | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-01-18 |
| 1770094674 | Eric C Robinson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-10-18 |
| 1588173322 | Alan Ross Patterson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-09-25 |
| 1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1730609868 | Jane Phillips | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1407382666 | Dawn Badwound | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174653752 | Wanblee Indian Health Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 44, Wanblee, SD 57577 | 2007-03-06 |
| 1093845653 | Mclaughlin Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 701 East 6th St, Mclaughlin, SD 57642-0879 | 2007-03-06 |
| 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 |
| 1184753147 | Lower Brule Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Clinic Blvd, Lower Brule, SD 57548 | 2007-03-05 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1790815363 | Pine Ridge Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 18 East, Pine Ridge, SD 57770 | 2007-03-06 |
| 1548390115 | Wagner Indian Health Care Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2007-03-06 |
| 1801925060 | Sisseton Wahpeton Oyate Healthcare Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2007-03-05 |
| 1770610842 | Eagle Butte Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 317 Main St, Eagle Butte, SD 57625 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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| 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.