Organization · Type 2 NPI

Fort Yates Indian Health Service Hospital

Health Service Clinic/Center · Bullhead, SD

NPI number 1497347579 Active

Practice location

102 Tasunka Street
Bullhead, SD 57621

Call (605) 823-4991 Map

Fax (605) 823-2150

Mailing address

PO Box J
Fort Yates, ND 58538-0527

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1497347579
Entity type: Organization (Type 2)
Issued: Feb 9, 2021
Last updated: Feb 8, 2024
Status: Active

Other names

<unavail>
Bullhead Health Station · other name
Bullhead Indian Health Service Clinic · other name

Authorized official

Jana Rhea Gipp
Chief Executive Officer
(701) 854-8211

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 1497347579

Fort Yates Indian Health Service Hospital's National Provider Identifier is 1497347579, issued on Feb 9, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bullhead, SD. The record was last updated on Feb 8, 2024.