| Pine Ridge Indian Health Service | |
|
East Highway 18 Pine Ridge SD 57701 | |
| (605) 867-3032 | |
| Not Available |
| Full Name | Pine Ridge Indian Health Service |
|---|---|
| Speciality | Clinic/center |
| Location | East Highway 18, Pine Ridge, South Dakota |
| Authorized Official Name and Position | Duane Robert Ross (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6058673040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Ridge Indian Health Service Po Box 1201 Pine Ridge SD 57770-1201 Ph: (605) 867-3032 | Pine Ridge Indian Health Service East Highway 18 Pine Ridge SD 57701 Ph: (605) 867-3032 |
| NPI Number | 1093228157 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093228157 | NPI | - | NPPES |
| HSZ153 | Other | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Pine Ridge Ihs Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-837-3314 Fax: 605-867-3332 | |
Oglala Sioux Tribe Continuum Of Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1588 Us-18, Pine Ridge, SD 57770 Phone: 214-738-8707 Fax: 866-781-9370 |