Oglala Sioux Tribe Otitis Media

NPI #1104060128 in Pine Ridge, South Dakota

Provider Information

NPI Number
1104060128
Entity Type
Organization
Organization Name
Oglala Sioux Tribe Otitis Media
Subpart
Yes (part of a larger organization)
Parent Organization
OGLALA SIOUX TRIBE OTITIS MEDIA
Primary Specialty
General Acute Care Hospital - Rural
Enumeration Date
Apr 21, 2009
Last Updated
Apr 21, 2009

Practice Location

Address
18 EAST HIGHWAY IHS
ZIP Code
57770-1201
Phone
(605) 867-3004

Authorized Official

Name
MS. PAMELA JOY BLACK FEATHER
Title
MEDICAL INSURANCE BILLER AND CODER
Phone
(605) 867-3004

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - RuralRural

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