# FORT THOMPSON INDIAN HEALTH SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710995907
- **Authorized official:** MADONNA M LONG (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (605) 245-1500

## Contact information

- **Practice address:** HWY 34 & 47, FORT THOMPSON, SD 57339-0200
- **Practice address phone:** (605) 245-1500
- **Practice address fax:** (605) 245-2384
- **Mailing address:** HWY 34 & 47, FORT THOMPSON, SD 57339-0200
- **Mailing address phone:** (605) 245-1500
- **Mailing address fax:** (605) 245-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5549010 | — | SD |