FORT YATES INDIAN HEALTH SERVICE HOSPITAL – NPI #1497347579
Clinic/Center

FORT YATES INDIAN HEALTH SERVICE HOSPITAL is an AHC clinic located in BULLHEAD, SD. NPPES has assigned the NPI number 1497347579 to FORT YATES INDIAN HEALTH SERVICE HOSPITAL on February 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FORT YATES INDIAN HEALTH SERVICE HOSPITAL is also known by the name BULLHEAD HEALTH STATION. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 2 years ago on Feb 08, 2024. 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 FORT YATES INDIAN HEALTH SERVICE HOSPITAL below.

NPI Profile for
FORT YATES INDIAN HEALTH SERVICE HOSPITAL

NPI Number
1497347579
Enumeration Date

(more than 5 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
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Other Name: BULLHEAD HEALTH STATION
Other name(s)
All associated names:
Other Name
BULLHEAD HEALTH STATION
Other Name
Bullhead Indian Health Service Clinic
Primary location
102 TASUNKA STREET
BULLHEAD, SD 57621
Phone: (605) 823-4991 Fax: (605) 823-2150
Mailing address
PO BOX J
FORT YATES, ND 58538-0527
Phone: (701) 854-3831 Fax:
Organization Subpart
No
Authorized Official
JANA GIPP
CHIEF EXECUTIVE OFFICER
Phone: (701) 854-8211
Updated
Certification Date
Feb 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QH0100X
- Clinic/Center / Health Service (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.