Cheyenne River Sioux Tribe | |
15607 1st Ave Laplante SD 57652-0000 | |
(605) 964-0772 | |
(605) 964-1399 |
Full Name | Cheyenne River Sioux Tribe |
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Speciality | Clinic/center - Primary Care |
Location | 15607 1st Ave, Laplante, 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 |
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Cheyenne River Sioux Tribe Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-6190 | Cheyenne River Sioux Tribe 15607 1st Ave Laplante SD 57652-0000 Ph: (605) 964-0772 |
NPI Number | 1104068428 |
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Provider Enumeration Date | 04/01/2009 |
Last Update Date | 08/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104068428 | NPI | - | NPPES |
5549310 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |