NPIMap

Organization Active NPI

Indianhealthservices

  • Emergency Care Clinic/Center
  • Pine Ridge, SD
National Provider Identifier
1962657338
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
R035667 Issued in SD
Legal business name
INDIANHEALTHSERVICES
Practice address
East Hwy 18
Post Office Box 1201
Pine Ridge, SD 57770-1201
Phone
(605) 867-5131
Fax
(605) 867-3263
NPI assigned
Nov 26, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
William Pourier
Title
Ceo
Phone
(605) 867-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X R035667 SD Primary

Addresses

Primary practice location

East Hwy 18
Post Office Box 1201
Pine Ridge, SD 57770-1201

Mailing address

East Hwy 18
Post Office Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-5131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1962657338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EAST HWY 18",
            "address_2": "POST OFFICE BOX 1201",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-5131",
            "fax_number": "605-867-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST HWY 18",
            "address_2": "POST OFFICE BOX 1201",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-5131",
            "fax_number": "605-867-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANHEALTHSERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "POURIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-867-5131"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "SD",
            "license": "R035667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2008; 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.