| NPI | 1104060128 |
|---|---|
| Doing Business As | OGLALA SIOUX TRIBE OTITIS MEDIA |
| Entity Type | Organization |
| Authorized Contact | PAMELA JOY BLACK FEATHER Medical Insurance Biller And Coder 605-867-3004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: SD 4820) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: SD 018A) |
| 282NR1301X General Acute Care Hospital, Rural (Licence: SD R020891) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |