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institution
Pine Ridge Indian Health Service Hospital
Clinic/Center in Wanblee, South Dakota
NPI 1962559518

Pine Ridge Indian Health Service Hospital is a Clinic/Center based in Wanblee, SD. Pine Ridge Indian Health Service Hospital practices in Wanblee, SD. The NPI Number for Pine Ridge Indian Health Service Hospital is 1962559518 and holds a License No. (South Dakota).

The current practice location address for Pine Ridge Indian Health Service Hospital is 210 1St St, Wanblee, SD and can be reached out via phone at 605-462-6155 and via fax at 605-462-6631.

Location: 210 1St St, Wanblee, SD, 57577-0290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962559518
Provider Name
Pine Ridge Indian Health Service Hospital
Credential
Provider Entity Type
Organization
Address
210 1St St, Wanblee, SD, 57577-0290
Phone Number
605-462-6155
Fax Number
605-462-6631
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5540040 05 SD
430098 01 CMS
HSZU07 01 MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577-0290
Phone Number
605-462-6155
Fax Number
605-462-6631
person
Provider Business Mailing Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577-0290
Phone Number
605-462-6155
Fax Number
605-462-6631
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).
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