# OGLALA SIOUX TRIBE OTITIS MEDIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OGLALA SIOUX TRIBE OTITIS MEDIA
- **Other names:** Oglala Sioux Tribe Otitis Media
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104060128
- **Legal business name:** OGLALA SIOUX TRIBE OTITIS MEDIA
- **Authorized official:** MS. PAMELA JOY BLACK FEATHER (MEDICAL INSURANCE BILLER AND CODER)
- **Authorized official phone:** (605) 867-3004

## Contact information

- **Practice address:** 18 EAST HIGHWAY IHS, PINE RIDGE, SD 57770-1201
- **Practice address phone:** (605) 867-3004
- **Practice address fax:** (605) 867-3374
- **Mailing address:** 18 EAST HIGHWAY IHS, PO BOX 1201, PINE RIDGE, SD 57770-1201
- **Mailing address phone:** (605) 867-3004
- **Mailing address fax:** (605) 867-3374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 018A | SD | — |
| 282NR1301X | Rural Acute Care Hospital | 4820 | SD | Yes |
| 282NR1301X | Rural Acute Care Hospital | R020891 | SD | — |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 04/21/2009