STANDING ROCK SIOUX TRIBE
NPI 1861827743
Family Medicine in Fort Yates, ND

Active since September 10, 2013
310 AGENCY AVE, FORT YATES, ND 58538(701) 854-3649(701) 989-4226 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Standing Rock Sioux Tribe NPPES

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

STANDING ROCK SIOUX TRIBE (NPI 1861827743), doing business as Standing Rock Sioux Tribe Wellness Program, is a healthcare organization registered as a family medicine in Fort Yates, North Dakota and active in the NPI registry since September 2013. The organization lists Shantelle Cruz, Third Party Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1861827743
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTANDING ROCK SIOUX TRIBE
Location Address310 AGENCY AVEFort Yates, ND 58538
Mailing AddressPo Box DFort Yates, ND 58538-0522 · (701) 391-7170 · Fax (701) 854-8686
Fax(701) 989-4226
Organization SubpartNo
Authorized OfficialShantelle CruzThird Party Billing Specialist · (701) 391-7170
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1861827743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

310 AGENCY AVE, Fort Yates, ND 58538

Other Names 1

Doing Business AsStanding Rock Sioux Tribe Wellness Program

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861827743, enumerated as an "organization" on September 10, 2013.

The provider is located at 310 AGENCY AVE FORT YATES, ND 58538 and the phone number is (701) 854-3649.

Family Medicine with taxonomy code 207Q00000X.