Whalio Doctors

NPI 1104060128

Oglala Sioux Tribe Otitis Media

Organisation Rural Acute Care Hospital Pine Ridge, SD

Practice location

Address
18 East Highway Ihs, Pine Ridge, SD 57770-1201
Phone
(605) 867-3004
Fax
(605) 867-3374
Mailing address
18 East Highway Ihs PO Box 1201, Pine Ridge, SD 57770-1201

Authorised official

Name
Pamela Joy Black Feather
Title
Medical Insurance Biller and Coder
Phone
(605) 867-3004

Registered specialties (3)

Rural Acute Care Hospital Primary
Hospitals Taxonomy 282NR1301X Licence 4820 (SD)
Rural Acute Care Hospital
Hospitals Taxonomy 282NR1301X Licence 018A (SD)
Rural Acute Care Hospital
Hospitals Taxonomy 282NR1301X Licence R020891 (SD)

Registry record

NPI
1104060128
Entity type
Organization
NPI issued
21 Apr 2009
Record last updated
21 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.