Direct Service Tribes
Direct Service Tribes (DST) are Tribal Nations that receive primary health care services directly from IHS-operated hospitals and clinics, rather than operating those services under a self-determination contract or self-governance agreement. The Office of Tribal and Urban Affairs provides leadership and advocacy on DST issues and coordinates with Tribal leaders through the Direct Service Tribes Advisory Committee (DSTAC).
While some Tribes operate exclusively under a Direct Service model, others operate under a mixed service delivery arrangement that includes both IHS-operated and tribally operated programs.
Direct Service Tribes by IHS Area
*Denotes Tribes operating exclusively under a Direct Service model (DST-only).
Albuquerque Area
- Jicarilla Apache Nation
- Mescalero Apache Tribe
- Ohkay Owingeh Pueblo
- Pueblo de Cochiti
- Pueblo of Isleta
- Pueblo of Nambe
- Pueblo of Pojoaque
- Pueblo of San Felipe
- Pueblo of San Ildefonso
- Pueblo of Santa Ana
- Pueblo of Santa Clara
- Pueblo of Taos
- Pueblo of Tesuque
- Southern Ute Indian Tribe
- Ute Mountain Ute Tribe
Bemidji Area
- Red Lake Tribal Council
- Leech Lake Reservation Business Committee
- White Earth Tribal Council
Billings Area
- Fort Peck Tribal Executive Board
- Crow Tribal Council
- Fort Belknap Community Council
- Shoshone Business Council
- Northern Arapaho Business Council
- Blackfeet Tribal Business Council
- Northern Cheyenne Tribal Council
Great Plains Area
- Rosebud Sioux Tribe
- Yankton Sioux Tribe
- Lower Brule Sioux Tribe
- Cheyenne River Sioux Tribe
- Crow Creek Sioux Tribe*
- Standing Rock Sioux Tribe
- Sisseton-Wahpeton Oyate of the Lake Traverse Reservation
- Turtle Mountain Band of Chippewa
- Oglala Sioux Tribe
Nashville Area
- Mashpee Wampanoag Tribe
- Catawba Indian Nation*
- Tuscarora Nation*
- Onondaga Nation of New York*
- Tonawanda Band of Seneca*
- Pamunkey Tribe*
- Rappahannock Tribe*
- Chickahominy Indian Tribe*
- Chickahominy Indian Tribe – Eastern Division*
Navajo Area
- Navajo Nation
Oklahoma City Area
- Caddo Nation
- Pawnee Nation of Oklahoma
- The Delaware Nation
- Fort Sill Apache Tribe
- Apache Tribe of Oklahoma
- Cheyenne & Arapaho Tribes
- Otoe-Missouria Tribe
- Wichita & Affiliated Tribes of Oklahoma
- Kiowa Tribe of Oklahoma
- Comanche Tribe of Oklahoma
- Seminole Nation of Oklahoma
Phoenix Area
- Summit Lake Paiute Tribe
- Ak-Chin Indian Community
- Cocopah Tribe
- Colorado River Indian Tribes
- Havasupai Tribe
- Hopi Tribe
- Hualapai Indian Tribe
- Kaibab Band of Paiute Indians
- Moapa Band of Paiutes
- Quechan Tribe
- San Lucy District of the Tohono O’odham Nation
- Te-Moak Tribe of Western Shoshone
- Battle Mountain Band of the Te-Moak Tribe of Western Shoshone
- Elko Band of the Te-Moak Tribe of Western Shoshone
- South Fork Band of the Te-Moak Tribe of Western Shoshone
- Wells Band of the Te-Moak Tribe of Western Shoshone
- Tonto Apache Indian Tribe
- Ute Indian Tribe
- White Mountain Apache Tribe
- Yavapai-Apache Nation
- Yavapai-Prescott Indian Tribe
Portland Area
- Colville Business Council
- Fort Hall Business Council (Sho-Ban)
- Confederated Tribes & Bands of the Yakama Nation
- Confederated Tribes of Warm Springs
Prepared by: Michelle Sauve, Director, Tribal Coordination
Point of Contact Email: Michelle.Sauve@ihs.gov
