Organization
INDIANHEALTHSERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM POURIER (CEO)
(605) 867-5131
Entity
Organization
Contact information
Practice address
EAST HWY 18, POST OFFICE BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3263
Mailing address
EAST HWY 18, POST OFFICE BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3262
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
R035667
SD
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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