NPIMap

Organization Active NPI

Oglala Sioux Tribe Otitis Media

  • Rural Acute Care Hospital
  • Pine Ridge, SD
National Provider Identifier
1104060128
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
4820 Issued in SD
Legal business name
OGLALA SIOUX TRIBE OTITIS MEDIA
Practice address
18 East Highway IHS
Pine Ridge, SD 57770-1201
Phone
(605) 867-3004
Fax
(605) 867-3374
NPI assigned
Apr 21, 2009
Organization subpart
Yes
Parent organization
OGLALA SIOUX TRIBE OTITIS MEDIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Ms. Pamela Joy Black Feather
Title
Medical Insurance Biller and Coder
Phone
(605) 867-3004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 018A SD
Rural Acute Care Hospital 282NR1301X R020891 SD
Rural Acute Care Hospital 282NR1301X 4820 SD Primary

Addresses

Primary practice location

18 East Highway IHS
Pine Ridge, SD 57770-1201

Mailing address

18 East Highway IHS
PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-3004

Other names 1

  • Oglala Sioux Tribe Otitis Media Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oglala Sioux Tribe Otitis Media11 organizations share this tax ID, including this one
Part of
Oglala Sioux Tribe Otitis Media

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1104060128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EAST HIGHWAY IHS",
            "address_2": "PO BOX 1201",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-3004",
            "fax_number": "605-867-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST HIGHWAY IHS",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-3004",
            "fax_number": "605-867-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA SIOUX TRIBE OTITIS MEDIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OGLALA SIOUX TRIBE OTITIS MEDIA",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "BLACK FEATHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "MEDICAL INSURANCE BILLER AND CODER",
        "authorized_official_telephone_number": "605-867-3004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SD",
            "license": "018A",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SD",
            "license": "R020891",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SD",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oglala Sioux Tribe Otitis Media",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Ridge, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.