PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL (NPI# 1497786412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497786412 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Other Organization Name | PINE RIDGE IHS HOSPITAL |
| Practice Address |
East Highway 18 Pine Ridge SD 57770-9998 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058373314 |
| Practice Fax Number | 6058673332 |
| Mailing Telephone | 6058673032 |
| Mailing Fax Number | 6058673332 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | RHONDA M AKERS (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6058673032 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASC | AC0018 | 01 | |
| PTAN PART B | HSZ153 | 01 |
| Other Name | Type Code |
|---|---|
| Pine Ridge IHS Hospital | Doing Business As Name - Organization |
| 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 |
| 1033266945 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2007-01-04 |
| Street Address |
EAST HIGHWAY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767703 | Steven G Beliel | Family Medicine | East Highway 18, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2006-02-03 |
| 1093228157 | Pine Ridge Indian Health Service | Clinic/Center | East Highway 18, Pine Ridge, SD 57701 | 2017-11-13 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356663256 | Pine Ridge Ihs | General Acute Care Hospital | 1201 East Hwy 18, Pine Ridge, SD 57770-1201 | 2010-02-18 |
| 1598910523 | Jamie Louise Rodriquez | General Acute Care Hospital | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1407108053 | Sanford Health | General Acute Care Hospital | 3401 W 49th St Ste 2, Sioux Falls, SD 57106-2369 | 2012-10-05 |
| 1922337716 | Indian Health Service | General Acute Care Hospital | 3500 Canyon Lake Dr, Rapid City, SD 57702-3118 | 2009-12-08 |
| 1558594192 | Maria Klamm | General Acute Care Hospital | 1210 W 18th St Ste Ll01, Sioux Falls, SD 57104-4655 | 2009-08-31 |
| 1184844391 | Deana Gipp | General Acute Care Hospital | 317 North Main Steet, Eagle Butte, SD 57625 | 2007-04-27 |
| 1952371676 | Holy Infant Hospital | General Acute Care Hospital | 512 Main Street, Hoven, SD 57450 | 2006-01-25 |
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 1275515579 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2474 | 2005-11-14 |
| 1023003969 | Heart Hospital of South Dakota LLC | General Acute Care Hospital | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2005-09-16 |
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL.
| 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.