National Provider Identifier Database

PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
210 1ST ST
WANBLEE, SD57577
Phone: 605-462-6155
Fax: 605-462-6551
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

NPI Number 1174653752
Legal business name
LBN
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 03/06/2007
Last updated 11/25/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SD Medicaid: 5540040
  • Other: 4304907 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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