| Organization Name: | PHS INDIAN HOSPITAL |
| NPI Number: | 1235302142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIN ELAINE NEIBAUER (FNP) |
| Mailing Address: | 10110 South 7650 East Phs Crow Northern Cheyenne Indian Crow Agency |
| State: | MT US |
| Postal Code: | 59022 |
| Phone Number: | 4066383558 |
| Fax Number: | 4066383482 |
| NPI Enumeration Date: | 04/11/2008 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 20957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |