Organization · Type 2 NPI

Oglala Sioux Tribe Otitis Media

Rural Acute Care Hospital · Pine Ridge, SD

NPI number 1104060128 Active

Practice location

18 East Highway Ihs
Pine Ridge, SD 57770-1201

Fax (605) 867-3374

Specialties and licenses

Taxonomy	Code	License
Rural Acute Care Hospital	282NR1301X	018A (SD)
Rural Acute Care Hospital	282NR1301X	R020891 (SD)
Rural Acute Care Hospital Primary	282NR1301X	4820 (SD)

Rural Acute Care Hospital: Definition to come...

NPI record

NPI: 1104060128
Entity type: Organization (Type 2)
Issued: Apr 21, 2009
Last updated: Apr 21, 2009
Status: Active
Subpart: Yes of Oglala Sioux Tribe Otitis Media

Other names

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Oglala Sioux Tribe Otitis Media · doing business as

Authorized official

Ms. Pamela Joy Black Feather
Medical Insurance Biller and Coder
(605) 867-3004

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104060128

Oglala Sioux Tribe Otitis Media's National Provider Identifier is 1104060128, issued on Apr 21, 2009. The primary taxonomy on file is Rural Acute Care Hospital (282NR1301X), and the practice location is in Pine Ridge, SD. The record was last updated on Apr 21, 2009.