Oglala Sioux Tribe
Family Medicine in Pine Ridge, SD. Organization (NPI-2).
NPI number1932824331
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1932824331
- Entity type
- Organization (NPI-2)
- Legal business name
- Oglala Sioux Tribe
- Organization subpart
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Oglala Sioux Tribe Continuum Of Care Center (Other Name)
Practice location
1588 Us-18Pine Ridge, SD 57770
Phone 214-738-8707 · Fax 866-781-9370
Mailing address
1588 Us-18Pine Ridge, SD 57770
Phone 214-738-8707 · Fax 866-781-9370
Authorized official
Kevin Killer
President
6058648487
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