BULLHEAD HEALTH STATION
NPI 1497347579
Clinic/Center - Health Service in Bullhead, SD

Active since February 09, 2021
102 TASUNKA STREET, BULLHEAD, SD 57621(605) 823-4991(605) 823-2150 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Feb 9, 2021 (2 updates tracked since 2021).

About Bullhead Health Station NPPES

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

BULLHEAD HEALTH STATION (NPI 1497347579) is a healthcare organization registered as a health service in Bullhead, South Dakota and active in the NPI registry since February 2021. The organization lists Jana Rhea Gipp, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1497347579
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFORT YATES INDIAN HEALTH SERVICE HOSPITAL
Location Address102 TASUNKA STREETBullhead, SD 57621
Mailing AddressPo Box JFort Yates, ND 58538-0527 · (701) 854-3831
Fax(605) 823-2150
Organization SubpartNo
Authorized OfficialJana Rhea GippChief Executive Officer · (701) 854-8211
Enumeration DateFebruary 9, 2021
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1497347579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
102 TASUNKA STREET, Bullhead, SD 57621

Other Names 2

Other NameBullhead Health Station
Other NameBullhead Indian Health Service Clinic

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bullhead Health Station is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth DakotaEnrollment IDO20201203001462Part A · Critical Access HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Bullhead Health Station, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Emergency Medicine4
Nurse Practitioner3
Internal Medicine2
Cardiovascular Disease (Cardiology)1
Clinical Social Worker1

Clinicians, nearest first (11)

Clinical Social Worker
NPI 1477133718
1237 W DIVIDE AVE STE 5
Bismarck, ND 58501
(701) 328-8851
✔ PECOS✔ Accepts Medicare74 mi
Emergency Medicine
NPI 1225055270
1100 BALSAM AVE EMERGENCY DEPT
Boulder, CO 80304
(303) 440-2037
✔ PECOS✔ Accepts Medicare450 mi
Emergency Medicine
NPI 1023337250
2222 N NEVADA AVE EMERGENCY DEPARTMENT
Colorado Springs, CO 80907
(719) 475-0414
✔ PECOS✔ Accepts Medicare513 mi
Internal Medicine
NPI 1285613323
1001 PENNSYLVANIA AVE
Ottumwa, IA 52501
(641) 984-2341
✔ PECOS✔ Accepts Medicare546 mi
Nurse Practitioner
NPI 1992390371
3827 MUNSON CT
Plano, IL 60545
(708) 785-6614
✔ PECOS690 mi
Internal Medicine
NPI 1538731831
3001 BROADMOOR BLVD NE
Rio Rancho, NM 87144
(505) 994-7000
✔ PECOS✔ Accepts Medicare779 mi
Emergency Medicine
NPI 1710978176
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8600
✔ PECOS807 mi
Nurse Practitioner
NPI 1629537410
6498 PROSPECT RD
Prospect, TN 38477
(931) 309-9460
✔ PECOS✔ Accepts Medicare1,046 mi
Nurse Practitioner
NPI 1417482670
9888 BISSONNET ST STE 401-B
Houston, TX 77036
(346) 545-1651
✔ PECOS✔ Accepts Medicare1,150 mi
Emergency Medicine
NPI 1689670135
555 E CHEVES ST
Florence, SC 29506
(843) 777-2027
✔ PECOS✔ Accepts Medicare1,378 mi
Cardiovascular Disease (Cardiology)
NPI 1063438810
1 HEALTHY WAY DIVISION OF CARDIOLOGY
Oceanside, NY 11572
(516) 632-3673
✔ PECOS✔ Accepts Medicare1,423 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fort Yates Indian Health Service Hospital's NPI number?

The NPI number for Fort Yates Indian Health Service Hospital is 1497347579. It was assigned to this organization in the NPPES registry on February 9, 2021. The provider is also known as Bullhead Health Station and Bullhead Indian Health Service Clinic.

Where is Fort Yates Indian Health Service Hospital located?

Fort Yates Indian Health Service Hospital is located at 102 Tasunka Street, Bullhead, SD 57621. The listed phone number is (605) 823-4991.

What is Fort Yates Indian Health Service Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Fort Yates Indian Health Service Hospital enrolled in Medicare?

Yes. Fort Yates Indian Health Service Hospital is registered in the Medicare PECOS enrollment system.

When is Fort Yates Indian Health Service Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Dakota, Critical Access Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fort Yates Indian Health Service Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Fort Yates Indian Health Service Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (4), Nurse Practitioner (3) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Yates Indian Health Service Hospital was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.