| Organization Name: | OGLALA SIOUX TRIBE OTITIS MEDIA |
| NPI Number: | 1104060128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA JOY BLACK FEATHER (MEDICAL INSURANCE BILLER AND CODER) |
| Mailing Address: | 18 East Highway Ihs Pine Ridge |
| State: | SD US |
| Postal Code: | 577701201 |
| Phone Number: | 6058673004 |
| Fax Number: | 6058673374 |
| NPI Enumeration Date: | 04/21/2009 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 018A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |