Provider First Line Business Practice Location Address:
E. HWY 18, 4500 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Provider Business Practice Location Address City Name:
PINE RIDGE
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57770-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-867-3056
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2008