| Fort Yates Indian Health Service Hospital | |
|
420 Prairie Avenue Wakpala SD 57658-9998 | |
| (605) 845-3092 | |
| Not Available |
| Full Name | Fort Yates Indian Health Service Hospital |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 420 Prairie Avenue, Wakpala, South Dakota |
| Authorized Official Name and Position | Jana Rhea Gipp (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7018548211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Yates Indian Health Service Hospital P.o. Box J N10 North River Road Fort Yates ND 58538-0527 Ph: (701) 854-3831 | Fort Yates Indian Health Service Hospital 420 Prairie Avenue Wakpala SD 57658-9998 Ph: (605) 845-3092 |
| NPI Number | 1104971738 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104971738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |