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FORT YATES INDIAN HOSP PHARMACY

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.

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Contact Information

FORT YATES INDIAN HOSP PHARMACY
1010 N RIVER RD
FORT YATES, ND  58538
 Phone: 701-854-8251
 Fax: 701-854-3523
 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 FORT YATES INDIAN HOSP PHARMACY

NPI Number 1770613325
LBN Legal business name FORT YATES INDIAN HOSP PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 03/07/2013 - About 13 years ago
Identifiers
ND Medicaid 001058
ND Medicaid 1058FO
SD Medicaid 5549040
Other 3503833 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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