| Fort Yates Indian Health Service Hospital | |
|
10 N River Road Ft. Yates ND 58538 | |
| (701) 854-3831 | |
| Not Available |
| Full Name | Fort Yates Indian Health Service Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 10 N River Road, Ft. Yates, North Dakota |
| Authorized Official Name and Position | Jana Gipp (CEO) |
| Authorized Official Contact | 7018548211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Yates Indian Health Service Hospital Po Box J Fort Yates ND 58538-0527 Ph: () - | Fort Yates Indian Health Service Hospital 10 N River Road Ft. Yates ND 58538 Ph: (701) 854-3831 |
| NPI Number | 1922547801 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922547801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
Fort Yates Indian Health Service Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N River Road, Ft. Yates, ND 58538 Phone: 701-854-3831 |