PINE RIDGE INDIAN HEALTH SERVICE (NPI# 1093228157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093228157 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE INDIAN HEALTH SERVICE |
| Practice Address |
East Highway 18 Pine Ridge SD 57701 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058673032 |
| Mailing Telephone | 6058673032 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | DUANE ROBERT ROSS (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 6058673040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PART B | HSZ153 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| Street Address |
EAST HIGHWAY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767703 | Steven G Beliel | Family Medicine | East Highway 18, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2006-02-03 |
| 1972048379 | Leeann Bruns | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-12-21 |
| 1770032336 | Michelle Janis | Registered Nurse | East Highway 18, Box 1201, Pine Ridge, SD 57770-1201 | 2016-09-23 |
| 1750838074 | Holly Humphries | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-09-02 |
| 1770937559 | Tia Akers | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2016-04-19 |
| 1831588318 | Heather Derby | Pharmacist | East Highway 18, Pine Ridge Ihs Hospital, Pine Ridge, SD 57770 | 2015-01-21 |
| 1639584048 | Sandra Pettigrew | Registered Nurse | East Highway 18, East Highway 18, Pine Ridge, SD 57770-1201 | 2014-06-24 |
| 1396161170 | Jason Christian Lootens | Social Worker | East Highway 18, Ihs Compound, Pine Ridge, SD 57770-1201 | 2014-03-17 |
| 1063842417 | Jobeth Ann Swallow | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2013-11-22 |
| 1609206051 | Stacy Drummond | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2013-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| 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 |
|---|---|---|---|---|
| 1497786412 | Pine Ridge Indian Health Service Hospital | Clinic/Center | East Highway 18, Pine Ridge, SD 57770-9998 | 2006-07-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57701 |
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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.