Lacreek District Clinic

LBN: Pine Ridge Indian Health Service Hospital
Lacreek District Clinic is an health care organization with primary practice located at 119 South 1St Avenue , Martin SD 57551. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Public Health, Federal. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Pine Ridge Indian Health Service Hospital can be contacted via phone (605) 685-2800, or through Akers, Rhonda M via phone (605) 867-3032.

Contact Information

Primary practice address
119 South 1St Avenue Martin SD 57551
Phone: (605) 685-2800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Akers, Rhonda M
Phone: (605) 867-3032

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1003208257
LBN Legal business name Pine Ridge Indian Health Service Hospital
DBA Doing business as Lacreek District Clinic
Authorized official Akers, Rhonda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2015
Last updated Jul 31st, 2020 - about 5 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 1003208257 NPPES
South Dakota MEDICAID 5949000
South Dakota Other 430098

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