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Pine Ridge Indian Health Service
Federal Public Health Clinic/Center in Wanblee, South Dakota
NPI 1548444862

Pine Ridge Indian Health Service is a Federal Public Health Clinic/Center based in Pine Ridge, SD and is specialized in Public Health, Federal. Pine Ridge Indian Health Service practices in Wanblee, SD. The NPI Number for Pine Ridge Indian Health Service is 1548444862 and holds a License No. (South Dakota).

The current practice location address for Pine Ridge Indian Health Service is 210 1St St, Wanblee, SD and can be reached out via phone at 605-462-6155.

Location: 210 1St St, Wanblee, SD, 57770-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548444862
Provider Name
Pine Ridge Indian Health Service
Credential
Provider Entity Type
Organization
Address
210 1St St, Wanblee, SD, 57770-1201
Phone Number
605-462-6155
Fax Number
Provider Enumeration Date
12/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5540040 05 SC
430098 01 CCN
institution
Provider Business Practice Location Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577
Phone Number
605-462-6155
Fax Number
person
Provider Business Mailing Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577
Phone Number
605-462-6155
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, Federal
Taxonomy
261QP0904X
License No.
()
Definition
Definition to come...
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