OGLALA SIOUX TRIBE OTITIS MEDIA
NPI 1104060128
General Acute Care Hospital - Rural in Pine Ridge, SD
NPI Status: Active since April 21, 2009
Contact Information
18 EAST HIGHWAY IHS
PINE RIDGE, SD
ZIP 57770
Phone: (605) 867-3004
Fax: (605) 867-3374
- Organization
- General Acute Care Hospital
- Rural
- CLIA Number: 43D2050282
- CLIA Cert. Type: Other - DRUG TESTING OFFICE
- CLIA Exp. Date: 11-25-2026
About OGLALA SIOUX TRIBE OTITIS MEDIA
This page provides the complete NPI Profile along with additional information for Oglala Sioux Tribe Otitis Media, a provider established in Pine Ridge, South Dakota operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1104060128 assigned on April 2009. The practitioner's primary taxonomy code is 282NR1301X with license number 4820 (SD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Oglala Sioux Tribe Otitis Media. The authorized official of this NPI record is Ms. Pamela Joy Black Feather (Medical Insurance Biller And Coder)
- NPI
- 1104060128
- Provider Legal Name
- OGLALA SIOUX TRIBE OTITIS MEDIA
- Other Organization Name
- OGLALA SIOUX TRIBE OTITIS MEDIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18 EAST HIGHWAY IHS PINE RIDGE, SD 57770
- Location Phone
- (605) 867-3004
- Location Fax
- (605) 867-3374
- Mailing Address
- 18 EAST HIGHWAY IHS PO BOX 1201 PINE RIDGE, SD 57770
- Mailing Phone
- (605) 867-3004
- Mailing Fax
- (605) 867-3374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-21-2009
- Last Update Date
- 04-21-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
- License No.
- 4820
- License State
- SD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282NR1301X | Hospitals | General Acute Care Hospital | 018A (SD) |
| 2 | 282NR1301X | Hospitals | General Acute Care Hospital | R020891 (SD) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2050282
- Facility Type
- Other - DRUG TESTING OFFICE
- Certificate Effective Date
- November 26, 2024
- Certificate Expiration Date
- November 25, 2026
- Laboratory Director
- WARREN CROSS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Oglala Sioux Tribe Otitis Media to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104060128, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104060128, enumerated as an "organization" on April 21, 2009.
The provider is located at 18 EAST HIGHWAY IHS PINE RIDGE, SD 57770 and the phone number is (605) 867-3004.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
