PIERRE INDIAN LEARNING CENTER NPI 1225209711

NPI Information

NPI: 1225209711
Provider Name: PIERRE INDIAN LEARNING CENTER
Classification: Registered Nurse - 163WS0200X
Entity Type: Organization

Specialization: School

CLIA Number: 43D2194494

Address:
3001 E SULLY AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-8861
Get Directions

PIERRE INDIAN LEARNING CENTER is a school registered nurse in Pierre, SD. PIERRE INDIAN LEARNING CENTER NPI is 1225209711. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3001 E SULLY AVE
PIERRE, SD
ZIP 57501-403
Phone: (605) 224-8861
Fax: (605) 224-0985

The provider's authorized official is Darrell Jeanotte .
The authorized official title is Superintendent and has the following contact phone number (605) 224-8661.

The CLIA number assigned to this NPI record is 43D2194494 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 3/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5153010	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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