Organization · Type 2 NPI

Fort Meade Vamc

VA Clinic/Center · Pine Ridge, SD

NPI number 1386688018 Active

Practice location

Hospital Road, Pine Ridge Indian Reservation
Pine Ridge, SD 57770-9998

Mailing address

PO Box 94456
Cleveland, OH 44101-4456

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

About NPI 1386688018

Fort Meade Vamc's National Provider Identifier is 1386688018, issued on Jun 15, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Pine Ridge, SD. The record was last updated on Dec 11, 2020.