Organizational Chart: Office of the Director
Standard Administrative Code)
Indian Health Service Headquarters
Office of the Director
Organizational Charts
Office, Divisions, Names, Titles, and Standard Administrative Code
Approved: December 12, 2025
by Clayton W. Fulton
Standard Administrative Code = SAC * = Acting
| Office/Division | Title | |
|---|---|---|
| Office of the Director - SAC: GA | Vacant | |
| Office of the Director | Deputy Director, Benjamin Smith | |
| Office of the Director | Deputy Director for Management Operations, Darrell LaRoche | |
| Office of the Director | Chief Medical Officer, Loretta Christensen | |
| Office of the Director | Deputy Director for InterGovernmental and External Affairs, Stacey Ecoffey | |
| Office of the Director | Deputy Director for Quality Healthcare and Enterprise Risk Management, Michelle Boylan | |
| Office of the Director | Deputy Director for Field Operations, Chris Buchanan, James Driving Hawk, Beverly Cotton | |
| Office of the Director | Chief of Staff, Clayton W. Fulton (Delegated Authority of the IHS Director) | |
| Office of the Director | Chief Information Officer, Mitchell Thornbrugh | |
| Office of Indian Self-Determination and Self-Governance - SAC: GAA | *Director, Rena Macy | |
| Office of Tribal and Urban Affairs - SAC: GAB | *Director, Tina Conners | |
| Equal Employment Opportunity Staff – SAC: GA3 | *Director, Lenora Littledeer | |
| Office of External Affairs - SAC: GAC | *Director, Stacy Ecoffey | |
| Veteran Coordination Support Staff – SAC: GAC1 | Director, Vacant | |
| Strategic Partnerships Staff – SAC: GAC2 | Director, Vacant | |
| Public Affairs Staff - SAC: GAC5 | Director, Nicole Adams | |
| Executive Secretariat Staff - SAC: GAC4 | Director, Linda Hahn | |
| Legislative Affairs Staff - SAC- GAC3 | Director, Darren Pete |
