| Cheyenne River Sioux Tribe | |
|
18190 1st Ave Faith SD 57626-0000 | |
| (605) 964-0772 | |
| Not Available |
| Full Name | Cheyenne River Sioux Tribe |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18190 1st Ave, Faith, South Dakota |
| Authorized Official Name and Position | Ramona Simon (TRIBAL HEALTH CEO) |
| Authorized Official Contact | 6059640785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne River Sioux Tribe Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0772 | Cheyenne River Sioux Tribe 18190 1st Ave Faith SD 57626-0000 Ph: (605) 964-0772 |
| NPI Number | 1649412966 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649412966 | NPI | - | NPPES |
| 5549330 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Faith Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 N 2nd Ave W, Faith, SD 57626 Phone: 605-967-2644 Fax: 605-967-2844 |