| Yankton Sioux Tribe | |
|
800 Main Sw Wagner SD 57380-9602 | |
| (605) 384-3641 | |
| (605) 384-5687 |
| Full Name | Yankton Sioux Tribe |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 800 Main Sw, Wagner, South Dakota |
| Authorized Official Name and Position | Robert Flying Hawk (TRIBAL CHAIRMAN) |
| Authorized Official Contact | 6054695370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yankton Sioux Tribe P.o. Box 1153 Wagner SD 57380-9602 Ph: (605) 384-3641 | Yankton Sioux Tribe 800 Main Sw Wagner SD 57380-9602 Ph: (605) 384-3641 |
| NPI Number | 1851856009 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851856009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Vanessa Iverson, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Main Ave, Wagner, SD 57380 Phone: 605-670-3104 |