# PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
- **Other names:** Kyle Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003963497
- **Legal business name:** PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
- **Authorized official:** RHONDA M AKERS (HEALTH SYSTEM SPECIALIST)
- **Authorized official phone:** (605) 867-3032

## Contact information

- **Practice address:** 1000 HEALTH CENTER RD, KYLE, SD 57752-0540
- **Practice address phone:** (605) 455-2451
- **Mailing address:** P.O. BOX 540, 1000 HEALTH CENTER RD, KYLE, SD 57752-0540
- **Mailing address phone:** (605) 455-2451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 07/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 430098 | MEDICARE CCN | — |
| 05 | — | 5549060 | — | SD |