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Organization

PINE RIDGE IHS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICHOLA WITT RN (ER SUP.)
(605) 867-3067
Entity
Organization

Contact information

Practice address
1201 EAST HWY 18, PINE RIDGE, SD 57770-1201
(605) 867-5131
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
672139
TX

Other

Enumeration date
02/18/2010
Last updated
02/18/2010
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