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PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL NPI 1003963497


NPI Information

NPI: 1003963497
Provider Name: PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

Doing Business As: KYLE HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1000 HEALTH CENTER RD
KYLE, SD
ZIP 57752
Phone: (605) 455-2451
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PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is a clinic center in Kyle, 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 HOSPITAL NPI is 1003963497. The provider is registered as an organization entity type.
The provider Is Doing Business As Kyle Health Center.

The provider's business location address is:

1000 HEALTH CENTER RD
KYLE, SD
ZIP 57752-540
Phone: (605) 455-2451

The provider's authorized official is Rhonda M Akers .
The authorized official title is Health System Specialist and has the following contact phone number (605) 867-3032.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1430098OTHERMEDICARE CCN
25549060MEDICAIDSOUTH 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

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