OGLALA SIOUX TRIBE OTITIS MEDIA (NPI# 1104060128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104060128 |
| Entity Type | Organization |
| Organization Name | OGLALA SIOUX TRIBE OTITIS MEDIA |
| Other Organization Name | OGLALA SIOUX TRIBE OTITIS MEDIA |
| Practice Address |
18 East Highway Ihs Pine Ridge SD 57770-1201 |
| Mailing Address |
18 East Highway Ihs Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058673004 |
| Practice Fax Number | 6058673374 |
| Mailing Telephone | 6058673004 |
| Mailing Fax Number | 6058673374 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | MS. PAMELA JOY BLACK FEATHER (MEDICAL INSURANCE BILLER AND CODER) |
| Authorized Official Telephone | 6058673004 |
| Is Organization Subpart | Y |
| Parent Organization Name | OGLALA SIOUX TRIBE OTITIS MEDIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
018A | SD | Hospitals |
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
R020891 | SD | Hospitals |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
4820 | SD | Hospitals |
| Other Name | Type Code |
|---|---|
| Oglala Sioux Tribe Otitis Media | Doing Business As Name - Organization |
| Street Address |
18 EAST HIGHWAY IHS |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053653667 | Indian Health Service | General Acute Care Hospital | 26045 U.S. Hwy 18, Rosebud, SD 57570-0400 | 2013-03-21 |
| 1588909410 | Rosebud Ihs Hospital | General Acute Care Hospital | Hiway 18 Soldier Creek Road, Rosebud, SD 57570-0400 | 2012-12-04 |
| 1497046767 | Ihs Eagle Butte | General Acute Care Hospital | 317 S. Main St., Eagle Butte, SD 57625-1012 | 2011-04-21 |
| 1184886046 | Leola School District 44-2 | General Acute Care Hospital | 820 Leola Ave, Leola, SD 57456-0350 | 2008-07-01 |
| 1063630853 | Eagle Butte Indian Health Service | General Acute Care Hospital | 330 Maple Street, 326, Eagle Butte, SD 57625-1012 | 2007-04-24 |
| 1699175539 | Terry Sperling | General Acute Care Hospital | 1440 N Main St, Spearfish, SD 57783-1505 | 2014-08-28 |
| 1063811354 | Indian Health Service | General Acute Care Hospital | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-08-22 |
| 1275802241 | Rosebud Indian Health Service Hospital | General Acute Care Hospital | 400 Soldier Creek Rd, Rosebud, SD 57570-0400 | 2011-12-21 |
| 1003045345 | Indian Health Services | General Acute Care Hospital | 317 Main St, Eagle Butte, SD 57625 | 2009-07-08 |
| 1720230709 | Indian Health Services | General Acute Care Hospital | 317 North Main St, Eagle Butte, SD 57625-1012 | 2008-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on OGLALA SIOUX TRIBE OTITIS MEDIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.