Fort Yates Indian Health Service Hospital

LBN: Fort Yates Indian Health Service Hospital
Fort Yates Indian Health Service Hospital is an health care organization with primary practice located at 10 North River Road , Fort Yates ND 58538. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Hospitals / Rural. Hospitals / Critical Access is the primary health care specialty. Fort Yates Indian Health Service Hospital can be contacted via phone (701) 854-3831, or through Gipp, Jana Rhea via phone (701) 854-8211.

Contact Information

Primary practice address
10 North River Road Fort Yates ND 58538
Phone: (701) 854-3831
Fax: (701) 854-7567
Website:
Map and Directions
Authorized official contact:
Name: Gipp, Jana Rhea
Phone: (701) 854-8211

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X
Hospitals / Rural 282NR1301X 1796 North Dakota

Profile Details

NPI number 1609851039
LBN Legal business name Fort Yates Indian Health Service Hospital
DBA Doing business as
Authorized official Gipp, Jana Rhea
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609851039 NPPES
Other 351364 CMS CERTIFICATION NUMBER (CCN)
MEDICAID 5549040 CMS CERTIFICATION NUMBER (CCN)
MEDICAID 1459056 CMS CERTIFICATION NUMBER (CCN)

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