# FORT YATES INDIAN HEALTH SERVICE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427597392
- **Authorized official:** JANA GIPP (CEO)
- **Authorized official phone:** (701) 854-8211

## Contact information

- **Practice address:** 10 N RIVER ROAD, FT. YATES, ND 58528
- **Practice address phone:** (701) 854-3453
- **Mailing address:** PO BOX J, FORT YATES, ND 58538-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017