MEDICARE: ROSALYN YVONNE FASTHORSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		ND

General Provider Information

NPI Number	:	1831048883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALYN YVONNE FASTHORSE

Provider Business Mailing Address
First Line	:	PO BOX 206
Second Line	:
City	:	FORT YATES
State	:	ND
Zip	:	58538-0206
Country	:	US
Telephone Number	:	701-989-5372
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 206
Second Line	:
City	:	FORT YATES
State	:	ND
Zip	:	58538-0206
Country	:	US
Telephone Number	:	701-989-5372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

Similar Medicare Providers

1942352919 — DR. FRANK J EVANS DDS
Practice Location Address:

802 S LEE
FORT GIBSON, OK
74434-0206

Practice Phone: 918-478-2341
Practice Fax: 918-478-2341

1508865007 — SARA JUANITA JUMPING EAGLE M.D.
Practice Location Address:

10 N. RIVER RD. , FORT YATES IHS HOSPITAL/CLINIC
FT. YATES, ND
58538

Practice Phone: 701-854-3831
Practice Fax: 701-854-7399

1609851039 — FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Practice Location Address:

10 NORTH RIVER ROAD
FORT YATES, ND
58538

Practice Phone: 701-854-3831
Practice Fax: 701-854-7567

1821064163 — DR. ROGER R. DAVIES D.D.S.
Practice Location Address:

PO BOX J
FORT YATES, ND
58538-0527

Practice Phone: 701-854-3831
Practice Fax:

1578501219 — DR. SOL A PREBUS MD
Practice Location Address:

10 STANDING ROCK AVE
FORT YATES, ND
58538-8528

Practice Phone: 701-854-8222
Practice Fax:

1558377796 — DR. JOHNA C HARTNELL PH.D.
Practice Location Address:

10 NORTH RIVER ROAD , PHS INDIAN HEALTH SERVICE
FORT YATES, ND
58538-0797

Practice Phone: 701-854-3831
Practice Fax: 701-854-3844

Directions to “ ROSALYN YVONNE FASTHORSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.