U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Office of Direct Service and Contracting Tribes

Direct Service Tribes

Direct Service Tribes (DST) receive primary health care services from the Indian Health Service. These services includes: direct patient care such as internal medicine, pediatrics, women's health, and dental and optometry services.

Areas and States Served

Direct Service Tribe Areas Map - click to viewZoom In
Aberdeen - North Dakota, South Dakota, Iowa, and Nebraska
Alaska - Alaska (no Direct Service Tribes)
Albuquerque - New Mexico, Colorado, and Texas
Bemidji - Minnesota, Michigan, and Wisconsin
Billings - Montana and Wyoming
California - California (no Direct Service Tribes)
Nashville - Eastern United States
Navajo - Navajo Nation and San Juan Southern Paiute Tribe
Oklahoma - Oklahoma, Texas, and Kansas
Phoenix - Arizona, Nevada, and Utah
Portland - Idaho, Oregon, and Washington
Tucson - Pascua Yaqui Tribe and Tohono O'odham Nation

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