FORT THOMPSON INDIAN HEALTH SERVICE
NPI 1710995907
Clinic/Center in Fort Thompson, SD

NPI Status: Active since August 03, 2006

Contact Information

HWY 34 & 47
FORT THOMPSON, SD
ZIP 57339
Phone: (605) 245-1500
Fax: (605) 245-2384

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  • Organization
  • Clinic/Center
  • CLIA Number: 43D2101318
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-18-2026

About FORT THOMPSON INDIAN HEALTH SERVICE

This page provides the complete NPI Profile along with additional information for Fort Thompson Indian Health Service, a provider established in Fort Thompson, South Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1710995907 assigned on August 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Madonna M Long (Chief Executive Officer)

NPI
1710995907
Provider Name
FORT THOMPSON INDIAN HEALTH SERVICE
Entity Type
Organization
Location Address
HWY 34 & 47 FORT THOMPSON, SD 57339
Location Phone
(605) 245-1500
Location Fax
(605) 245-2384
Mailing Address
HWY 34 & 47 FORT THOMPSON, SD 57339
Mailing Phone
(605) 245-1500
Mailing Fax
(605) 245-2384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2006
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MADONNA M LONG

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(605) 245-1500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HSZ063MEDICARE ID-TYPE UNSPECIFIED (04)SDMEDICARE GROUP NUMBER
=========OTHER (01)SDTAX ID NUMBER
5549010MEDICAID (05)SD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D2101318
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 19, 2024
Certificate Expiration Date
May 18, 2026
Laboratory Director
KENDRA KAHLER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Fort Thompson Indian Health Service after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710995907, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 8 + 9 + 1 + 0 + 9 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710995907.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Registered Nurse
HWY 34 & 47
FORT THOMPSON, SD 57339
Registered Nurse
HWY 34 & 47
FT THOMPSON, SD 57339
Registered Nurse (Administrator)
HWY 34 & 47
FORT THOMPSON, SD 57339
Licensed Practical Nurse
HWY 34 & 47
FORT THOMPSON, SD 57339
Physical Therapist
HWY 34 & 47
FT THOMPSON, SD 57339
Radiologic Technologist (Computed Tomography)
HWY 34 & 47
FORT THOMPSON, SD 57339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710995907, enumerated as an "organization" on August 03, 2006.

The provider is located at HWY 34 & 47 FORT THOMPSON, SD 57339 and the phone number is (605) 245-1500.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.