Ost Chr Program
NPI #1962828707 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1962828707
- Entity Type
- Organization
- Organization Name
- Ost Chr Program
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
Practice Location
- Address
- 102 WEST MAIN STREET
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770-0601
- Phone
- (605) 867-5801
Authorized Official
- Name
- MR. JIM M. WATTERS
- Title
- OST CHR PROGRAM, DIRECTOR
- Phone
- (605) 867-5801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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