| Oglala Sioux Tribe | |
|
1588 Us-18 Pine Ridge SD 57770 | |
| (214) 738-8707 | |
| (866) 781-9370 |
| Full Name | Oglala Sioux Tribe |
|---|---|
| Speciality | Family Medicine |
| Location | 1588 Us-18, Pine Ridge, South Dakota |
| Authorized Official Name and Position | Kevin Killer (PRESIDENT) |
| Authorized Official Contact | 6058648487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oglala Sioux Tribe 1588 Us-18 Pine Ridge SD 57770 Ph: (214) 738-8707 | Oglala Sioux Tribe 1588 Us-18 Pine Ridge SD 57770 Ph: (214) 738-8707 |
| NPI Number | 1932824331 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932824331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pine Ridge Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge, SD 57701 Phone: 605-867-3032 | |
Pine Ridge Indian Health Service Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-837-3314 Fax: 605-867-3332 |