Organization
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA RHEA GIPP (CHIEF EXECUTIVE OFFICER)
(701) 854-8211
Entity
Organization
Contact information
Practice address
10 NORTH RIVER ROAD, FORT YATES, ND 58538
(701) 854-3831
(701) 854-7567
Mailing address
PO BOX J, FORT YATES, ND 58538-0527
(701) 854-3831
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
1796
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459056
—
ND
01
—
351364
CMS CERTIFICATION NUMBER (CCN)
—
05
—
5549040
—
SD
Enumeration date
12/08/2005
Last updated
02/04/2022
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