Pine Ridge Indian Health Service Hospital

NPI #1033266945 in Porcupine, South Dakota

Provider Information

NPI Number
1033266945
Entity Type
Organization
Organization Name
Pine Ridge Indian Health Service Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Primary Specialty
Clinic/Center
Enumeration Date
Jan 4, 2007
Last Updated
Jan 13, 2011

Practice Location

Address
101 MAIN STREET
ZIP Code
57772
Phone
(605) 867-5131

Authorized Official

Name
WILLIAM J POURIER
Title
CEO
Phone
(605) 867-3021

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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