PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
NPI 1033266945
Clinic/Center in Porcupine, SD

NPI Status: Active since January 04, 2007

Contact Information

101 MAIN STREET
PORCUPINE, SD
ZIP 57772
Phone: (605) 867-5131

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  • Organization
  • Clinic/Center

About PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL

This page provides the complete NPI Profile along with additional information for Pine Ridge Indian Health Service Hospital, a provider established in Porcupine, South Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1033266945 assigned on January 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is William J Pourier (Ceo)

NPI
1033266945
Provider Name
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Entity Type
Organization
Location Address
101 MAIN STREET PORCUPINE, SD 57772
Location Phone
(605) 867-5131
Mailing Address
P.O. BOX 1201 PINE RIDGE, SD 57770
Mailing Phone
(605) 867-5131
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-04-2007
Last Update Date
01-13-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM J POURIER

Authorized Official Title
CEO
Authorized Official Phone
(605) 867-3021

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
430081MEDICARE OSCAR/CERTIFICATION (06) 
PHS000MEDICARE UPIN (02) 
5540260MEDICAID (05)SD 
HSZ156MEDICARE PIN (08) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033266945
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063461298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 6 + 1 + 2 + 9 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1033266945 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033219035DIALYSIS MANAGEMENT GROUP LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)101 MAIN STREET
PORCUPINE, SD 57772
(605) 718-0391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033266945, enumerated in the NPI registry as an "organization" on January 04, 2007

The provider is located at 101 Main Street Porcupine, Sd 57772 and the phone number is (605) 867-5131

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.