Provider Demographics
NPI:1295807568
Name:SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Entity type:Organization
Organization Name:SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-224-8841
Mailing Address - Street 1:1714 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-7805
Mailing Address - Country:US
Mailing Address - Phone:605-224-8841
Mailing Address - Fax:605-224-6852
Practice Address - Street 1:339 S PIERRE ST
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-2438
Practice Address - Country:US
Practice Address - Phone:605-224-8841
Practice Address - Fax:605-224-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD431818OtherMEDICARE PTAN
SD4998623OtherBCBS GROUP PIN
SD5350180Medicaid
SD=========OtherEIN