NPIMap

Organization Active NPI

Pine Ridge Indian Health Service Hospital

Doing business as Kyle Health Center

  • Clinic/Center
  • Kyle, SD
National Provider Identifier
1003963497
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Doing business as
Kyle Health Center
Practice address
1000 Health Center Rd
Kyle, SD 57752-0540
Phone
(605) 455-2451
NPI assigned
Jan 5, 2007
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rhonda M Akers
Title
Health System Specialist
Phone
(605) 867-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1000 Health Center Rd
Kyle, SD 57752-0540

Mailing address

P.O. Box 540
1000 Health Center Rd
Kyle, SD 57752-0540
Phone (605) 455-2451

Other names 1

  • Kyle Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309001203 TX Part B Supplier - Clinic/Group Practice 7214825371 Receives reassigned benefits from 99 practitioners
Practice locations: Kyle, SD
O20200804002689 SD Part A Provider - Hospital 4688571326 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kyle, SD; Martin, SD; Pine Ridge, SD; Wanblee, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003963497. Details of each certification follow.

Hospital certification: CCN 430098

Legal name
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Doing business as
PINE RIDGE IHS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 8, 2020
Last certification
Jun 9, 2020
Beds
45
Ownership / control type
Federal
Organization structure
OtherNon-profit
Enrollment address
607 Indian Health Rd
Pine Ridge, SD 57770-3169
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Pine Ridge IHS HospitalCCN 430098 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pine Ridge IHS Hospital6 organizations share this tax ID, including this one
Part of
Pine Ridge IHS Hospital

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rhonda Akers Individual 5% Or Greater Indirect Ownership Interest Sep 27, 2024
Corporate DirectorHealth System Specialist Jun 8, 2020
W-2 Managing EmployeeAd; Sep 27, 2024
Operational/Managerial Control Sep 27, 2024
Brenda Badmilk Individual Corporate DirectorHealth System Specialist Jun 8, 2020

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

Affiliated clinicians 89

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 89

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1003963497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 540",
            "address_2": "1000 HEALTH CENTER RD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520540",
            "telephone_number": "605-455-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER RD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520540",
            "telephone_number": "605-455-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH SYSTEM SPECIALIST",
        "authorized_official_telephone_number": "605-867-3032"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kyle Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kyle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, SD

Sources for this page

Verify at the official NPI Registry.