# FORT YATES INDIAN HEALTH SERVICE HOSPITAL

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487193355
- **Authorized official:** JANA GIPP (CEO)
- **Authorized official phone:** (701) 854-8211

## Contact information

- **Practice address:** 10 N RIVER ROAD, FT. YATES, ND 58538
- **Practice address phone:** (701) 854-3831
- **Mailing address:** PO BOX J, FORT YATES, ND 58538-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

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