Pine Ridge Indian Health Service Hospital

NPI 1033266945 - Clinic/Center - 261Q00000X

NPI Details
NPI 1033266945
Enumeration Date 01/04/2007
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM J WILLIAM
Position CEO
Phone (605) 867-5131
Fax
Practice Location
101 MAIN STREET
PORCUPINE SD, 57772, US
Phone (605) 867-5131
Fax
Business Location
P.O. BOX 1201
PINE RIDGE SD, 57770-0275, US
Phone (605) 867-5131
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Pine Ridge Indian Health Service Hospital NPI is 1033266945, taxonomy code is 261Q00000X Pine Ridge Indian Health Service Hospital physically located at 101 Main Street, Porcupine SD, 57772. NPI Number 1033115704 has the healthcare provider type.

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1033266945 NPI number is provided on an as is basis without warranty of any kind. 1033266945 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Ridge Indian Health Service Hospital are for informational purposes only.