Provider Type Icon

PINE RIDGE INDIAN HEALTH SERVICE NPI 1003208257

NPI Profile

NPI: 1003208257
Provider Name: PINE RIDGE INDIAN HEALTH SERVICE

Doing Business As: LACREEK DISTRICT CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
119 SOUTH 1ST AVENUE
MARTIN, SD
ZIP 57551
Get Directions

Phone: (605) 685-2800

PINE RIDGE INDIAN HEALTH SERVICE is a cliniccenter in Martin, SD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PINE RIDGE INDIAN HEALTH SERVICE NPI is 1003208257. The provider is registered as an organization entity type.
The provider Is Doing Business As Lacreek District Clinic.

The provider's business location address is:

119 SOUTH 1ST AVENUE
MARTIN, SD
ZIP 57551
Phone: (605) 685-2800

The provider's authorized official is Sophia E Conroy .
The authorized official title is Deputy Ceo and has the following contact phone number (605) 867-3021.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 5/8/2015.

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
1261Q00000XClinic/CenterYes

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: 6/4/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.