Organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Active
Parent organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Other names
Pine Ridge IHS Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Authorized official
RHONDA M AKERS (BUSINESS OFFICE MANAGER)
(605) 867-3032
Entity
Organization
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-9998
(605) 837-3314
(605) 867-3332
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3032
(605) 867-3332
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0018
ASC
—
01
—
HSZ153
PTAN PART B
—
Enumeration date
07/06/2006
Last updated
09/24/2021
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