Clinic/Center in PINE RIDGE, SD
Last Updated on : Dec 21,2010
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is a Clinic/Center in PINE RIDGE, United States .
1407903321 is NPI number of PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL.
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL's primary taxonomy code based on NPI Lookup is 261Q00000X with license number . This taxonomy code refers to Clinic/Center.
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL current practice location address is P.O. BOX 1201, PINE RIDGE, SD. PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL can be reached out via phone at 605-867-5153 .
You can also correspond with PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL through mail at mailing address BIA HWY 8, ALLEN, SD, United States. Mailing address contact number is 605-867-5131.
The enumeration date of PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is 04-Jan-2007. The provider is registered as an Organization and the NPI record was last updated 13 years ago. The authorized official of PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is William Pourier (CEO). William Pourier can be reached at 6058673021.Basic NPI information of PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL (NPI 1407903321) is provided below.
Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
---|---|
National Provider Id (NPI) | 1407903321 |
Entity Type | Organization |
Practice Address | P.O. BOX 1201,
PINE RIDGE, SD, United States |
Practice Telephone | 605-867-5153 |
Practice Fax Number | |
Mailing Address | BIA HWY 8 ,
ALLEN, SD, United States |
Mailing Telephone | 605-867-5131 |
Mailing Fax Number | |
Enumeration Date | 04-Jan-2007 |
Last Updated Date | 21-Dec-2010 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 261Q00000X | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
430081 | MEDICARE OSCAR/Certification (06) | ||
430081 | MEDICARE PIN (08) | ||
HSZ154 | MEDICARE UPIN (02) | ||
5549120 | MEDICAID (05) | SD |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1386790293 | TOY MICHELLE ADAMS | Physical Therapy Assistant | 222 OLD WATERS HWY,
PINE RIDGE, AR, United States |
25-Jan-2007 |
1740558162 | ADA S SPENCER | Massage Therapist | 1080 KY 715,
ROGERS, KY, United States |
13-Dec-2011 |
1568901387 | APPALACHIAN HOLDINGS COMPANY LLC | Licensed Practical Nurse | 519 BOOTH RD,
PINE RIDGE, KY, United States |
13-Feb-2017 |
1952486490 | HEATHER BREWER JOHNSON | Speech-Language Pathologist, | 4516 KY 15 NORTH,
PINE RIDGE, KY, United States |
25-Oct-2006 |
1356329213 | LEA A WELLS | Pharmacist | PO BOX 1201,
PINE RIDGE, SD, United States |
02-Jan-2006 |
1033266945 | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL | Clinic/Center | 101 MAIN STREET,
PORCUPINE, SD, United States |
04-Jan-2007 |
1407903321 | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL | Clinic/Center | P.O. BOX 1201,
PINE RIDGE, SD, United States |
04-Jan-2007 |
1518430727 | STEPHANIE PEREZ RODRIGUEZ | Pharmacist | PO BOX 1201,
PINE RIDGE, SD, United States |
10-Jan-2019 |
1831588318 | HEATHER DERBY | Pharmacist | 719 KING ST,
CHADRON, NE, United States |
21-Jan-2015 |
1033357439 | ANITA LARAE EASTON | Registered Nurse | 600 E 3RD ST,
GORDON, NE, United States |
23-Jan-2009 |
1962474965 | JOAN E GIBSON | Pediatrics | PO BOX 1201,
HIGHWAY 18 EAST PINE RIDGE, SD, United States |
03-Feb-2006 |
1891767703 | STEVEN G BELIEL | Family Medicine | EAST HIGHWAY 18,
PINE RIDGE HOSPITAL PINE RIDGE, SD, United States |
03-Feb-2006 |
1457657306 | SARA MARIE LOUT | Pharmacist | 1045 N AMES ST,
SPEARFISH, SD, United States |
09-Feb-2011 |
1467425926 | JOSE CARLOS RODRIGUEZ | Dentist, General Practice | 6606 150TH LN,
GORDON, NE, United States |
07-Feb-2006 |
1073586509 | FRANKIE DELGADO CANAS | Family Medicine | PO BOX 6004,
PINE RIDGE, SD, United States |
07-Feb-2006 |
1346213758 | KELLIE R THIESSEN | Advanced Practice Midwife | PO BOX 3055,
PINE RIDGE, SD, United States |
08-Feb-2006 |
1669445920 | GARY C. STORMO | Dentist, General Practice | 6080 ALPINE CT,
RAPID CITY, SD, United States |
08-Feb-2006 |
1194097147 | MAIN YIE QUAN | Psychologist, Clinical | 3409 AVE ISLA VERDE APT 1103,
CAROLINA, PR, United States |
07-Feb-2012 |
1528031168 | JAMES MARION DAVY | Emergency Medicine | PINE RIDGE IHS HOSPITAL, E HWY 18,
PINE RIDGE, SD, United States |
13-Feb-2006 |
1356663256 | PINE RIDGE IHS | General Acute Care Hospital | PO BOX 1201,
PINE RIDGE, SD, United States |
18-Feb-2010 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1407903321 is the NPI number of PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL.
Where is PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL located?PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is located at P.O. BOX 1201, PINE RIDGE, SD.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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