| Fort Thompson Indian Health Service | |
|
Hwy 34 & 47 Fort Thompson SD 57339-0200 | |
| (605) 245-1500 | |
| (605) 245-2384 |
| Full Name | Fort Thompson Indian Health Service |
|---|---|
| Speciality | Clinic/Center |
| Location | Hwy 34 & 47, Fort Thompson, South Dakota |
| Authorized Official Name and Position | Madonna M Long (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6052451500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Thompson Indian Health Service Hwy 34 & 47 Fort Thompson SD 57339-0200 Ph: (605) 245-1500 | Fort Thompson Indian Health Service Hwy 34 & 47 Fort Thompson SD 57339-0200 Ph: (605) 245-1500 |
| NPI Number | 1710995907 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 9739080896 |
|---|---|
| Medicare Enrollment ID | O20040120000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710995907 | NPI | - | NPPES |
| 5549010 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David R Lonbaken |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760458202 PECOS PAC ID: 0749273431 Enrollment ID: I20040414001247 |
| Provider Name | John L Mcfee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558498717 PECOS PAC ID: 6608780580 Enrollment ID: I20040519001601 |
| Provider Name | Shakaib S Qureshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821063108 PECOS PAC ID: 7517924137 Enrollment ID: I20041215000753 |
| Provider Name | Jill E Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174705115 PECOS PAC ID: 6305017427 Enrollment ID: I20110922000024 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20151109000254 |
| Provider Name | Katie K Augspurger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891028031 PECOS PAC ID: 2163569591 Enrollment ID: I20160302000146 |
| Provider Name | Stephanie Dayl Feltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902286081 PECOS PAC ID: 1658676523 Enrollment ID: I20160302000203 |
| Provider Name | Jimmy L Minder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740254614 PECOS PAC ID: 5890788582 Enrollment ID: I20170306001029 |
| Provider Name | Patricia J Hamiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700179447 PECOS PAC ID: 1052694130 Enrollment ID: I20170413000644 |
| Provider Name | Jordan Lee Nordquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679835615 PECOS PAC ID: 3779854252 Enrollment ID: I20180205001071 |
| Provider Name | Janell Simpkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619989605 PECOS PAC ID: 6204025661 Enrollment ID: I20180308000855 |
| Provider Name | Ashley L Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530860 PECOS PAC ID: 9931454188 Enrollment ID: I20180612002609 |
| Provider Name | Monte C Junker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063490423 PECOS PAC ID: 9133475494 Enrollment ID: I20180629000502 |
| Provider Name | David B Foley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891285649 PECOS PAC ID: 8325394273 Enrollment ID: I20180706000949 |
| Provider Name | Sara K Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184062234 PECOS PAC ID: 2365683851 Enrollment ID: I20180713001304 |
| Provider Name | Krissi Danielsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982099420 PECOS PAC ID: 4981911757 Enrollment ID: I20180727000213 |
| Provider Name | Kim L Wilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744140 PECOS PAC ID: 3375686173 Enrollment ID: I20190123000471 |
| Provider Name | Jonathan Roebuck |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013011626 PECOS PAC ID: 9931339199 Enrollment ID: I20190130001893 |
| Provider Name | Nicole L Bamberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043702244 PECOS PAC ID: 7012265952 Enrollment ID: I20200220001792 |
| Provider Name | Himabindu Borra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710936596 PECOS PAC ID: 4981848983 Enrollment ID: I20200327002098 |
| Provider Name | Nisha J Manek |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437139151 PECOS PAC ID: 4486798097 Enrollment ID: I20200401001340 |
| Provider Name | Peter J Lloyd |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962717918 PECOS PAC ID: 2769775568 Enrollment ID: I20200407003506 |
| Provider Name | Kanan D Maniar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366534042 PECOS PAC ID: 7911897830 Enrollment ID: I20200521000515 |
| Provider Name | Joan M Umiker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932659539 PECOS PAC ID: 9032533740 Enrollment ID: I20200728000091 |
| Provider Name | James B Quartey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053322362 PECOS PAC ID: 8628101946 Enrollment ID: I20201027001756 |
| Provider Name | Mitchell J Relf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245886746 PECOS PAC ID: 0446664106 Enrollment ID: I20210121000799 |
| Provider Name | Anders Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790393825 PECOS PAC ID: 6608280383 Enrollment ID: I20210121001365 |
| Provider Name | Leonard G Suel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992957930 PECOS PAC ID: 3476862145 Enrollment ID: I20210128000241 |
| Provider Name | Jennifer L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598182289 PECOS PAC ID: 1850515339 Enrollment ID: I20230803000855 |
Horizon Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Sd Hwy 249, Fort Thompson, SD 57339 Phone: 605-539-9836 |