FT THOMPSON IHS HEALTH CENTER (NPI# 1720402498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720402498 |
| Entity Type | Organization |
| Organization Name | FT THOMPSON IHS HEALTH CENTER |
| Practice Address |
1323 Bia Rte 4 Ft Thompson SD 57339 |
| Practice Telephone | 6052451500 |
| Practice Fax Number | 6052452600 |
| Mailing Telephone | 6052451500 |
| Mailing Fax Number | 6052452600 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |
| Authorized Official Name | BERNARD LONG (CEO) |
| Authorized Official Telephone | 6052451522 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities |
| Street Address |
1323 BIA RTE 4 |
| City | FT THOMPSON |
| State | SD |
| Zip Code | 57339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 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 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| 1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
| Find all providers in zip 57339 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1710037288 | Fort Yates Indian Health Service | Clinic/Center | 701 East 6th Street, Mclaughlin, SD 57642-0879 | 2007-01-10 |
| 1144470824 | Us Dept of Health & Human Services | Clinic/Center | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-09-30 |
| 1992965438 | Indian Health Service-kyle Health Center | Clinic/Center | 1000 Health Center Road, Kyle, SD 57752-0540 | 2008-06-09 |
| 1376702357 | Wanblee Health Center | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2008-06-05 |
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| City | FT THOMPSON |
| Zip Code | 57339 |
Please comment or provide details below to improve the information on FT THOMPSON IHS HEALTH CENTER.
| 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.