PINE RIDGE INDIAN HEALTH SERVICE – NPI #1093228157
Clinic/Center

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 is an AHC clinic located in PINE RIDGE, SD. NPPES has assigned the NPI number 1093228157 to PINE RIDGE INDIAN HEALTH SERVICE on November 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINE RIDGE INDIAN HEALTH SERVICE below.

NPI Profile for
PINE RIDGE INDIAN HEALTH SERVICE

NPI Number
1093228157
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINE RIDGE INDIAN HEALTH SERVICE
Primary location
EAST HIGHWAY 18
PINE RIDGE, SD 57701
Phone: (605) 867-3032 Fax:
Mailing address
PO BOX 1201
PINE RIDGE, SD 57770-1201
Phone: (605) 867-3032 Fax:
Organization Subpart
No
Authorized Official
DUANE ROSS
ADMINISTRATIVE OFFICER
Phone: (605) 867-3040
Updated
Identifiers

Identifiers for PINE RIDGE INDIAN HEALTH SERVICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PART BHSZ153
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.