Direct Service Tribes
Annual Direct Service Tribes National Meeting
2025 Direct Service Tribes National Conference TBD. More information forthcoming.
DST Areas
Tribes that are strictly DST are marked with an asterisk (*) next to it; there are 18 tribes that are strictly DST. Please note this list includes Tribal Organizations (As of July 2021).
Alaska Area
- Akiachak Native Community
- Chitina Traditional Village Council
- Cook Inlet Tribal Council
- Fairbanks Native Association, Inc.
- Karluk IRA Tribal Council
- Native Village of Kwinhagak
- Native Village of Tanana
- Native Village of Tyonek
- Ninilchik Traditional Council
- St. George Traditional Council
- Valdez Native Tribe
Albuquerque Area
- Alamo Navajo School Board, Inc.
- Albuquerque Area Indian Health Board, Inc.
- Canoncito Band of Navajos Health Center, Inc.
- Eight Northern Indian Pueblos Council, Inc.
- Jicarilla Apache Nation
- Kewa Pueblo Health Corporation
- Laguna Healthcare Corporation
- Mescalero Apache Tribe
- Ohkay Owingeh Pueblo
- Pueblo of Acoma
- Pueblo de Cochiti
- Pueblo of Isleta
- Pueblo of Laguna
- Pueblo of Nambe
- Pueblo of Picuris
- Pueblo of Pojoaque
- Pueblo of San Felipe
- Pueblo of San Ildefonso
- Pueblo of Santa Ana
- Pueblo of Santa Clara
- Pueblo of Santo Domingo
- Pueblo of Tesuque
- Ramah Navajo School Board, Inc.
- Santa Fe Indian School
- Southern Ute Indian Tribe
- Ute Mountain Ute Tribe
Bemidji Area
- Bad River Band of Lake Superior Tribe of Chippewa Indians
- Bay Mills Indian Community, Michigan
- Grand Portage Band of Lake Superior
- Hannahville Indian Community, Michigan
- Lac Courte Oreilles Band of Lake Superior Chippewa of Wisconsin
- Lac du Flambeau Band of Lake Superior Chippewa Indians, Wisconsin
- Lac Vieux Desert Band of Lake Superior Chippewa of Michigan
- Leech Lake Band of Ojibwe
- Little Traverse Bay Bands of Odawa Indians, Michigan
- Lower Sioux Indian Community
- Meahnowesekiyah Treatment Center
- Menominee Indian Tribe of Wisconsin
- Pokagon Band of Potawatomi Indians, Michigan and Indiana
- Prairie Island Indian Community in Minnesota
- Red Cliff Band of Lake Superior Chippewa of Wisconsin
- Red Lake Band of Chippewa Indians, Minnesota
- Saginaw Chippewa Indian Tribe of Michigan
- Sokaogon Chippewa Community of Wisconsin (Mole Lake Band
- St. Croix Chippewa Indians of Wisconsin
- Upper Sioux Community, Minnesota
- White Earth Reservation
Billings Area
- Fort Peck Assiniboine and Sioux Tribes
- Blackfeet Tribal Business Council
- Crow Tribal
- Eastern Shoshone Business Council
- Fort Belknap Indian Community Council
- Little Shell Tribe of Chippewa Indians
- Northern Cheyenne Tribe
California Area
- Agua Caliente Band of Cahuilla Indians
- Buena Vista Rancheria
- Cabazon Band of Cahuilla Indians
- California Rural Indian Health Board, Inc.
- Central Valley Indian Health, Inc.
- Cold Springs Rancheria of Mono Indians
- Colusa Indian Health Community Council
- Coyote Valley Band of Pomo Indians
- Elem Indian Colony
- Greenville Rancheria of Maidu Indians
- Guidiville Indian Rancheria
- Hopland Band of Pomo Indians
- Koi Nation
- Mariposa, Amador, Alpine, Calaveras, and Tuolumne (MACT Indian Health Board
- Scotts Valley Indian Health Center
- Sherwood Valley Band of Pomo Indians
- Shingle Springs Band of Miwok Indians
- Sierra Tribal Consortium
- Strong Family Health Center
- Sycuan Band of the Kumeyaay Nation
- Table Mountain Rancheria
- Tejon Indian Tribe
- Tule River Tribal Council
- Toiyabe Indian Health Project, Inc.
- Viejas Band of Kumeyaay
- Wilton Rancheria
Great Plains Area
- Cheyenne River Sioux Tribe
- Crow Creek*
- Flandreau Santee Sioux Tribe
- Lower Brule Sioux Tribe
- Oglala Sioux Tribe Master
- Oglala Sioux Tribe Security
- Oglala Sioux Tribe – Rapid City Service Area
- Omaha Tribe of Nebraska
- Pierre Indian Learning Center (tribal organization
- Ponca Tribe of Nebraska
- Rosebud Sioux Tribe
- Sac and Fox Tribe of the Mississippi in Iowa
- Santee Sioux Nation
- Sisseton-Wahpeton Oyate of Lake Traverse Reservation
- Standing Rock Sioux Tribe
- Three Affiliated Tribes Elbowoods Memorial
- Three Affiliated Tribes Master
- Trenton Indian Service Area
- Turtle Mountain Band of Chippewa Indians
- United Tribes Technical College
- Yankton Sioux Tribe
Nashville Area
- Alabama-Coushatta Tribe of Texas
- Aroostook Band of Micmac Indians*
- Cayuga Nation of Indians
- Shinnecock Indian Nation*
- Tuscarora Nation*
- Tonawanda Nation*
- Onondaga Nation*
- Catawba Indian Nation*
- Mashpee Wampanoag*
- Pamunkey Indian Tribe*
- Rappahannock Tribe*
- Upper Mattaponi Tribe*
- Chickahominy Indian Tribe*
- Chickahominy Indian Tribe – Eastern Division*
- Nansemond Indian Tribe*
- Monacan Nation*
- Coushatta Tribe of Louisiana
- Houlton Band of Maliseet Indians
- Jena Band of Choctaw Indians
- Miccosukee Corporation
- Narragansett Indian Tribe
- Oneida Indian Nation of New York
- Passamaquoddy Tribe of Indian Township
- Passamaquoddy Pleasant Point
- Seneca Nation of Indians
- Tunica-Biloxi Tribe of Louisiana
- United South and Eastern Tribes, Inc.
- Upper Mattaponi Indian Tribe
Navajo Area
- Fort Defiance Indian Hospital Board, Inc.
- Navajo Health Foundation/Sage Memorial Hospital, Inc.
- Navajo Nation – Health Management Service
- Navajo Nation – Emergency Medical Service
- Navajo Nation – Navajo Treatment Center for Children and Their Families
- San Juan Southern Paiute Tribe
Oklahoma City Area
- Alabama-Quassarte Tribal Town
- Kialegee Tribal Town*
- Thlopthlocco Tribal Town*
- Apache Tribe of Oklahoma
- Caddo Nation of Oklahoma
- Cheyenne and Arapaho Tribes, Oklahoma
- Comanche Nation, Oklahoma
- Consortium Against Substance Abuse
- Delaware Nation, Oklahoma
- Eastern Shawnee Tribe of Oklahoma
- Fort Sill Apache Tribe of Oklahoma
- Iowa Tribe of Oklahoma
- Kickapoo Traditional Tribe of Texas
- Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas
- Kiowa Indian Tribe of Oklahoma
- Miami Tribe of Oklahoma
- Otoe-Missouria Tribe of Indians, Oklahoma
- Ottawa Tribe of Oklahoma
- Peoria Tribe of Indians of Oklahoma
- Sac and Fox Nation of Missouri in Kansas and Nebraska
- Seneca-Cayuga Tribe of Oklahoma
- Tonkawa Tribe of Indians of Oklahoma
- United Keetowah Band of Cherokee Indians in Oklahoma
Phoenix Area
- Summit Lake Paiute Tribe*
- Battle Mountain Band of the Te-Moak Tribe of Western Shoshone Indians
- Chemehuevi Indian Tribe
- Cocopah Tribe
- Colorado River Indian Tribes
- Confederated Tribes of the Goshute Reservation
- Elko Band of the Te-Moak Tribe of Western Shoshone Indians
- Fort Mojave Indian Tribe
- Fort McDowell Yavapai Nation
- Havasupai Tribe
- Hopi Tribe
- Hualapai Indian Tribe
- Kaibab Band of Paiute Indians
- Lovelock Paiute Tribe
- Moapa Band of Paiutes
- Paiute-Shoshone Tribe of the Fallon Reservation and Colony
- Pyramid Lake Paiute Tribe
- Quechan Tribe
- San Carlos Apache Tribe
- San Lucy District of the Tohono O-odham Nation
- Skull Valley Band of Goshute Indians
- South Fork Band of the Te-Moak Tribe of Western Shoshone Indians
- Tonto Apache Indian Tribe
- Ute Indian Tribe
- Walker River Paiute Tribe
- Wells Band of the Te-Moak Tribe of Western Shoshone Indians
- White Mountain Apache Tribe
- Yavapai-Apache Nation
- Yavapai-Prescott Indian Tribe
- Yomba Shoshone Tribe
Portland Area
- Burns Paiute Tribe
- Confederated Tribes and Bands of the Yakama Nation
- Confederated Tribes of the Chehalis Reservation
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of Warm Springs Reservation of Oregon
- Healing Lodge of the Seven Nations
- Hoh Indian Tribe
- Klamath Tribes
- Nooksack Indian Tribe
- Northwest Band of the Shoshone Nation
- Northwest Portland Area Indian Health Board
- Northwest Washington Indian Health Board
- Puyallup Tribal Health Authority
- Quileute Tribal Council
- Sauk-Suiattle Indian Tribe
- Shoshone-Bannock Tribes of the Fort Hall Reservation
- Snoqualmie Tribe
- Stillaguamish Tribe of Indians
- Upper Skagit Indian Tribe
Prepared by: Michelle Begay, Acting Deputy Director, ODSCT
Point of Contact Email: michelle.begay@ihs.gov
Updated: June 13, 2025
*denotes Direct Service