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CHEYENNE RIVER SIOUX TRIBE
NPI 1104068428
Clinic/Center - Primary Care in Laplante, SD

Active since April 01, 2009CLIA 43D0902264 · Waiver
15607 1ST AVE, LAPLANTE, SD 57652(605) 964-0772(605) 964-1399 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cheyenne River Sioux Tribe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE RIVER SIOUX TRIBE (NPI 1104068428) is a healthcare organization registered as a primary care in Laplante, South Dakota and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Ramona Simon, Tribal Health Ceo, as its authorized official.

NPPES Registry Identity

NPI1104068428
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHEYENNE RIVER SIOUX TRIBE
Location Address15607 1ST AVELaplante, SD 57652-0000
Mailing AddressPo Box 590Eagle Butte, SD 57625-0590 · (605) 964-6190
Phone(605) 964-0772
Fax(605) 964-1399
Organization SubpartNo
Authorized OfficialRamona SimonTribal Health Ceo · (605) 964-0785
Enumeration DateApril 1, 2009
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1104068428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
15607 1ST AVE, Laplante, SD 57652
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Other Identifiers 1

Medicaid5549310SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0902264

Cheyenne River Sioux Tribe Field Clinic · Eagle Butte, SD
Active · expires Feb 18, 2028
CLIA Number43D0902264
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorRebecca Harper
Laboratory Phone(605) 964-8917
Laboratory LocationCheyenne River Sioux Tribe Field ClinicPO Box 590, Eagle Butte, SD 57625
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne River Sioux Tribe's NPI number?

The NPI number for Cheyenne River Sioux Tribe is 1104068428. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Cheyenne River Sioux Tribe located?

Cheyenne River Sioux Tribe is located at 15607 1st Ave, Laplante, SD 57652. The listed phone number is (605) 964-0772.

What is Cheyenne River Sioux Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cheyenne River Sioux Tribe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0902264) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cheyenne River Sioux Tribe was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.