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Organization
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Active
Organization
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA GIPP (CEO)
(701) 854-8211
Entity
Organization
Contact information
Practice address
10 N RIVER ROAD, FT. YATES, ND 58538
(701) 854-3453
Mailing address
PO BOX J, FORT YATES, ND 58538-0527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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