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Pine Ridge Indian Health Service
Clinic/Center in Pine Ridge, South Dakota
NPI 1093228157

Pine Ridge Indian Health Service is a Clinic/Center based in Pine Ridge, SD. Pine Ridge Indian Health Service practices in Pine Ridge, SD. The NPI Number for Pine Ridge Indian Health Service is 1093228157 and holds a License No. (South Dakota).

The current practice location address for Pine Ridge Indian Health Service is East Highway 18, Pine Ridge, SD and can be reached out via phone at 605-867-3032.

Location: East Highway 18, Pine Ridge, SD, 57770-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093228157
Provider Name
Pine Ridge Indian Health Service
Credential
Provider Entity Type
Organization
Address
East Highway 18, Pine Ridge, SD, 57770-1201
Phone Number
605-867-3032
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSZ153 01 MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
East Highway 18
City
Pine Ridge
State
South Dakota
Zip
57701
Phone Number
605-867-3032
Fax Number
person
Provider Business Mailing Address Details
Address
East Highway 18
City
Pine Ridge
State
South Dakota
Zip
57701
Phone Number
605-867-3032
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
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).
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