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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.


16th Annual Direct Service Tribes National Meeting Presentations


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 2019).

Alaska Area Office

  • Akiachak Native Community
  • Chitina Traditional Village 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 Office

  • Alamo Navajo School Board, Inc.
  • Albuquerque Area Indian Health Board
  • Canoncito Band of Navajos Health Center
  • Eight Northern
  • Five Sandoval Indian Pueblos, Inc.
  • Jicarilla Apache Nation
  • Kewa Pueblo Health Corporation
  • Laguna Health Corporation
  • Mescalero Apache Tribe
  • Ohkay Owingeh (San Juan)
  • Pueblo of Acoma
  • Pueblo of Cochiti
  • Pueblo of Isleta Health Center
  • 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
  • Pueblo of Zuni
  • Ramah Navajo School Board, Inc.
  • Santa Fe Indian School
  • Southern Ute Indian Tribe
  • Ute Mountain Ute Tribe
  • Ysleta Del Sur Pueblo

Bemidji Area Office

  • Bad River Band of Lake Superior Tribe of Chippewa Indians
  • Bay Mills Indian Community, Michigan
  • Grand Portage Reservation
  • 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
  • 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 Office

  • Assiniboine and Sioux Tribes – Fort Peck Tribal Health Proj
  • Blackfeet Tribe of the Blackfeet Indian Reservation
  • Crow Tribe Health Education
  • Eastern Shoshone Business Council
  • Fort Belknap Community Council
  • Fort Peck Sponsorship Program
  • Northern Arapaho Business Council
  • Northern Cheyenne Tribal Sponsorship-PRC

California Area Office

  • Agua Caliente
  • Cabazon Band of Mission Indians
  • Central Valley Indian Health, Inc.
  • Cold Springs Rancheria of Mono Indians
  • Colusa Indian Health Community Council
  • Coyote Valley Band of Pomo Indians
  • CRIHP Consolidated
  • Elem Indian Colony
  • Greenville Rancheria of Maidu Indians
  • Guidiville Indian Rancheria Hopland Band of Pomo Indians
  • Koi Nation
  • MACT IHB
  • Round Valley Indian Health Center
  • 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
  • Table Mountain Rancheria
  • Tejon
  • Tule River Tribal Council
  • Tuolumne Band of the Wuk Indians
  • Wilton Rancheria

Great Plains Area Office

  • *Crow Creek
  • Cheyenne River Sioux Tribe
  • Flandreau Santee Sioux Tribe
  • Great Plains Tribal Chairmen’s Health Board
  • Lower Brule Sioux Tribe
  • Oglala Sioux Tribe Master
  • Oglala Sioux Tribe Security
  • Omaha Tribe of Nebraska
  • Pierre Indian Learning Center
  • 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 PFSAs
  • Three Affiliated Tribes Master
  • Trenton Indian Service Area
  • Turtle Mountain Band of Chippewa Indians
  • United Tribes Technical College
  • Yankton Sioux Tribe

Nashville Area Office

  • *Aroostook Band of Micmac
  • *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
  • Alabama – Coushata Tribe of Texas
  • Coushatta Tribe of Louisiana
  • Houlton Band of Maliseet Indians
  • Jena Band of Choctaw Indians
  • Mashantucket Pequot Tribal Nation
  • Miccosukee Corporation
  • Narragansett Indian Tribe
  • Oneida Indian Nation of New York
  • Passamaquoddy Indian Township
  • Passamaquoddy Pleasant Point
  • Seneca Nation of Indians
  • Tunica-Biloxi Tribe of Louisiana
  • USET
  • Fort Defiance Indian Hospital Board
  • Navajo Health Foundation
  • Navajo Nation – Health Management Services
  • San Juan Southern Paiute Tribe

Oklahoma City Area Office

  • *Kiaegee Tribal Town
  • *Thlopthlocco Tribal Town
  • Apache Tribe of Oklahoma
  • Caddo Nation of Oklahoma
  • Cheyenne and Arapaho Tribes, Oklahoma
  • Comanche Nation
  • Delaware Nation (Western OK)
  • Eastern Shawnee Tribe of Oklahoma
  • Fort Sill Apache Tribe of Oklahoma
  • Iowa Tribe of Oklahoma
  • Kickapoo Traditional Tribe of Texas
  • Kickapoo Tribe of Kansas
  • Kiowa Tribe of Oklahoma
  • Miami Tribe of Oklahoma
  • Otoe-Missouria Tribe of Indians
  • Ottawa Tribe of Oklahoma
  • Pawnee Nation of Oklahoma
  • Peoria Tribe of Indians of Oklahoma
  • Ponca Tribe of Oklahoma I
  • Sac and Fox Nation of Missouri in Kansas and Nebraska
  • Seneca-Cayuga Tribe of Oklahoma
  • Tonkawa Tribe of Indians of Oklahoma
  • United Keetowah
  • Wichita and Affiliated Tribes

Phoenix Area Office

  • *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
  • Hualapai Indian Tribe
  • Kaibab Band of Paiute Indians
  • Lovelock Paiute Tribe
  • Moapa Band of Paiutes
  • Paiute Indian Tribe of Utah
  • Paiute-Shoshone Tribe of the Fallon Reservation and Colony
  • Pascua Yaqui – Phoenix
  • 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 Office

  • 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
  • NW Portland Area Indian Health Board
  • NW Washington SUIHB
  • Puyallup Tribal Health Authority
  • Quileute Tribal Council
  • Sauk-Suiattle Indian Tribe
  • Shoshone-Bannock Tribes
  • Snoqualmie Tribe
  • Spokane Tribe of Indians
  • Stillaquamish Tribe of Indians
  • Upper Skagit Indian Tribe
Direct Service Tribe Areas Map