Organization
OGLALA SIOUX TRIBE OTITIS MEDIA
Active
Parent organization
OGLALA SIOUX TRIBE OTITIS MEDIA
Other names
Oglala Sioux Tribe Otitis Media
Organization subpart
Yes
Provider details
NPI number
Legal business name
OGLALA SIOUX TRIBE OTITIS MEDIA
Authorized official
MS. PAMELA JOY BLACK FEATHER (MEDICAL INSURANCE BILLER AND CODER)
(605) 867-3004
Entity
Organization
Contact information
Practice address
18 EAST HIGHWAY IHS, PINE RIDGE, SD 57770-1201
(605) 867-3004
(605) 867-3374
Mailing address
18 EAST HIGHWAY IHS, PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3004
(605) 867-3374
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
018A
SD
282NR1301X
Rural Acute Care Hospital
Primary
4820
SD
282NR1301X
Rural Acute Care Hospital
R020891
SD
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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