PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL (NPI# 1033266945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033266945 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Practice Address |
101 Main Street Porcupine SD 57772 |
| Mailing Address |
P.o. Box 1201 Pine Ridge SD 57770-0275 |
| Practice Telephone | 6058675131 |
| Mailing Telephone | 6058675131 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | WILLIAM J POURIER (CEO) |
| Authorized Official Telephone | 6058673021 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5540260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1962559518 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2007-01-05 |
| 1003963497 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 1000 Health Center Rd, Kyle, SD 57752-0540 | 2007-01-05 |
| 1407903321 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Bia Hwy 8, Allen, SD 57714-9999 | 2007-01-04 |
| 1487701348 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Downtown Manderson, Manderson, SD 57756 | 2007-01-04 |
| 1497786412 | Pine Ridge Indian Health Service Hospital | Clinic/Center | East Highway 18, Pine Ridge, SD 57770-9998 | 2006-07-06 |
| Street Address |
101 MAIN STREET |
| City | PORCUPINE |
| State | SD |
| Zip Code | 57772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033219035 | Dialysis Management Group LLC | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1417503822 | Alicia Claire Mousseau | Psychologist | 112 Mousseau Lane, Porcupine, SD 57772-0184 | 2019-08-12 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
| 1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
| 1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
| 1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.