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.
Annual Direct Service Tribes National Meeting
Due to COVID-19 or the Public Health Emergency this will not take place in 2021.
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 Office
- 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 Office
- Alamo Navajo School Board, Inc.
- Albuquerque Area Indian Health Board
- Canoncito Band of Navajos Health Center
- Eight Northern Indian Pueblos Council, Inc.
- 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
- Little Shell Tribe of Chippewa Indians
- 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
- Hopland Band of Pomo Indians
- Koi Nation
- MACT IHB
- Pit River Health Services, Inc.
- 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*
- 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
- Upper Mattaponi Tribe
- USET
Navajo Area Office
- Fort Defiance Indian Hospital Board
- Navajo Health Foundation
- Navajo Nation – Health Management Services
- Navajo Nation – Emergency Medical Service
- Navajo Nation – Navajo Treatment Center for Children and Their Families
- 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 Indians of the Kickapoo Reservation in Kansas
- Kiowa Tribe of Oklahoma
- Miami Tribe of Oklahoma
- Otoe-Missouria Tribe of Indians
- Ottawa Tribe of Oklahoma
- Pawnee Nation
- 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
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-Shoshone Tribe of the Fallon Reservation and Colony
- Pyramid Lake Paiute Tribe
- Quechan Tribe
- San Carlos Apache Tribe
- 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 Indian Health Board (NWWIHB)
- 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