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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 Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

NPI Number 1174653752
LBN Legal business name PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/06/2007
Last updated 11/25/2020 - About 6 years ago
Identifiers
SD Medicaid 5540040
Other 4304907 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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