| NAME |
PINE RIDGE |
| STATE |
SOUTH DAKOTA |
| STREET ADDR. 1 |
HOSPITAL ROAD |
| STREET ADDR. 2 |
PINE RIDGE INDIAN RESERVATION |
| CITY |
PINE RIDGE |
| ZIP |
57770-9998 |
| OFFICIAL VA NAME |
PINE RIDGE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PINE RIDGE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
500 NORTH 5TH STREET |
| CITY (MAILING) |
HOT SPRINGS |
| STATE (MAILING) |
SOUTH DAKOTA |
| ZIP (MAILING) |
57747-1480 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1386688018
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
568HF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1386688018
-
- CODING SYSTEM: VASTANUM
- ID: 568HF
|
