OGLALA SIOUX TRIBE OTITIS MEDIA NPI 1104060128

NPI Information

  • NPI: 1104060128
  • Provider Name: OGLALA SIOUX TRIBE OTITIS MEDIA
  • Classification: General Acute Care Hospital - 282NR1301X
  • Specialization: Rural
  • Entity Type: Organization
  • Doing Business As: OGLALA SIOUX TRIBE OTITIS MEDIA
  • CLIA Number: 43D2050282
  • Address: 18 EAST HIGHWAY IHS
    PINE RIDGE, SD
    ZIP 57770
  • Phone: (605) 867-3004

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NPI Details

OGLALA SIOUX TRIBE OTITIS MEDIA is a rural general acute care hospital in Pine Ridge, SD. OGLALA SIOUX TRIBE OTITIS MEDIA NPI is 1104060128. The provider is registered as an organization entity type.
The provider Is Doing Business As Oglala Sioux Tribe Otitis Media.

The provider's business location address is:

18 EAST HIGHWAY IHS
PINE RIDGE, SD
ZIP 57770-201
Phone: (605) 867-3004
Fax: (605) 867-3374

The provider's authorized official is Pamela Joy Black Feather .
The authorized official title is Medical Insurance Biller And Coder and has the following contact phone number (605) 867-3004.

The CLIA number assigned to this NPI record is 43D2050282 - other - drug testing office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 4/21/2009.

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
1282NR1301XGeneral Acute Care HospitalRural018ASOUTH DAKOTANo
2282NR1301XGeneral Acute Care HospitalRuralR020891SOUTH DAKOTANo
3282NR1301XGeneral Acute Care HospitalRural4820SOUTH DAKOTAYes

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: 11/21/2025

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