NPI 1962828707
Ost Chr Program
Practice location
- Address
- 102 West Main Street, Pine Ridge, SD 57770-0601
- Phone
- (605) 867-5801
- Fax
- (605) 867-5406
- Mailing address
- PO Box 601, Pine Ridge, SD 57770-0601
Authorised official
- Name
- Jim M. Watters
- Title
- Ost Chr Program, Director
- Phone
- (605) 867-5801
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1962828707
- Entity type
- Organization
- NPI issued
- 17 Mar 2014
- Record last updated
- 17 Mar 2014
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.