Pine Ridge Indian Health Service Hospital in Wanblee - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy

Pine Ridge Indian Health Service Hospital - NPI 1174653752

Pine Ridge Indian Health Service Hospital is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Wanblee, South Dakota. Pine Ridge Indian Health Service Hospital practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Pine Ridge Indian Health Service Hospital is 1174653752. The last update date is 2020-11-25.

Pine Ridge Indian Health Service Hospital's current location address is 210 1st St, Wanblee, South Dakota. You can contact this provider via phone number 6054626155 and fax number 6054626551. The mailing address for Pine Ridge Indian Health Service Hospital is 210 1st St, Wanblee, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pine Ridge Indian Health Service Hospital
Address 210 1st St, Wanblee, South Dakota
Phone Number 6054626155
Fax Number 6054626551
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY P
Authorized Official Name Cummings James
Credentials PHARMD
Telephone Number 4059516086

NPI Number Detail

NPI Number 1174653752
Provider Enumeration Date 2007-03-06
Last Updated Date 2020-11-25

Provider Mailing Address Detail

Address 210 1st St
City Wanblee
State South Dakota (SD)
Post Code 57577
Phone Number 6054626155
Fax Number 6054626551

Provider's Primary Taxonomy Detail

Speciality Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Taxonomy 332800000X
Definition:
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5540040 SD --
4304907 NCPDP PROVIDER IDENTIFICATION

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FAQs about Pine Ridge Indian Health Service Hospital

What is the Pine Ridge Indian Health Service Hospital's 1174653752?

The Pine Ridge Indian Health Service Hospital's NPI (National Provider Identifier) Number is 1174653752. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Pine Ridge Indian Health Service Hospital's physical address?

The Pine Ridge Indian Health Service Hospital is physically located at 210 1St St, in the city of Wanblee, SD, with the postal code 57577.

What is Pine Ridge Indian Health Service Hospital's area of expertise and its corresponding taxonomy classification?

The Pine Ridge Indian Health Service Hospital's field of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and it falls under the taxonomy code 332800000X, which categorizes healthcare providers based on their areas of practice.

When did the Pine Ridge Indian Health Service Hospital receive its 1174653752?

The Pine Ridge Indian Health Service Hospital was issued its 1174653752 on 2007-03-06, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Pine Ridge Indian Health Service Hospital, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pine Ridge Indian Health Service Hospital, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-25.

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