PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL (NPI# 1962559518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962559518 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Other Organization Name | WANBLEE HEALTH CENTER |
| Practice Address |
210 1st St Wanblee SD 57577-0290 |
| Mailing Address |
Po Box 290 210 1st St Wanblee SD 57577-0290 |
| Practice Telephone | 6054626155 |
| Practice Fax Number | 6054626631 |
| Mailing Telephone | 6054626155 |
| Mailing Fax Number | 6054626631 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | RHONDA M AKERS (HEALTH SYSTEM SPECIALIST) |
| Authorized Official Telephone | 6058673032 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMS | 430098 | 01 | |
| SD | 5540040 | 05 |
| Other Name | Type Code |
|---|---|
| PINE RIDGE INDIAN HEALTH SERVICES | Other Name - Individual/Organization |
| Wanblee Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1003963497 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 1000 Health Center Rd, Kyle, SD 57752-0540 | 2007-01-05 |
| 1407903321 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Bia Hwy 8, Allen, SD 57714-9999 | 2007-01-04 |
| 1487701348 | Pine Ridge Indian Health Service Hospital | Clinic/Center | Downtown Manderson, Manderson, SD 57756 | 2007-01-04 |
| 1033266945 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 101 Main Street, Porcupine, SD 57772 | 2007-01-04 |
| 1497786412 | Pine Ridge Indian Health Service Hospital | Clinic/Center | East Highway 18, Pine Ridge, SD 57770-9998 | 2006-07-06 |
| Street Address |
210 1ST ST |
| City | WANBLEE |
| State | SD |
| Zip Code | 57577-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467719823 | Cindy Lou Rheault | Pharmacist | 210 1st St, Wanblee, SD 57577-0290 | 2012-04-23 |
| 1376702357 | Wanblee Health Center | Clinic/Center | 210 1st St, Wanblee, SD 57577-0290 | 2008-06-05 |
| 1548444862 | Pine Ridge Indian Health Service | Clinic/Center | 210 1st St, Wanblee, SD 57577 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979845 | Denise Kovach | Registered Nurse | 210 1 St Street, Wanblee, SD 57577 | 2014-07-08 |
| 1427297266 | Jaimee Allisen Mcguire | Nurse Practitioner | 210 1st Street, Wanblee, SD 57577 | 2009-02-18 |
| 1174653752 | Wanblee Indian Health Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Highway 44, Wanblee, SD 57577 | 2007-03-06 |
| 1639132533 | George Edward Starr | Physician Assistant | Wanblee Health Center, 210 First Street, Wanblee, SD 57577 | 2006-04-11 |
| 1225005473 | Brent L Barker | Dentist | 210 1st., Wanblee, SD 57577 | 2006-03-07 |
| 1750358354 | Suzanne Marie England | Advanced Practice Midwife | 1000 Health Care Way, Wanblee, SD 57577 | 2006-03-02 |
| 1003184607 | Dwan Renee Kendrick | Registered Nurse | 210 First Street, Wanblee, SD 57577 | 2011-12-09 |
| 1174736664 | Margaret Ellyn Musselman | Nurse Practitioner | 210 First Street, Wanblee, SD 57577 | 2007-05-08 |
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1568622140 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-17 |
| Find all providers in zip 57577 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
| 1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
| 1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
| 1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
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| 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.