Provider Demographics
NPI:1366205585
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 1:339 S PIERRE ST
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-2438
Mailing Address - Country:US
Mailing Address - Phone:605-224-8841
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH DAKOTA URBAN INDIAN HEALTH, INC. SDUIH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty