| Cheyenne River Sioux Tribe Wellness Center | |
|
27276 166th St Airport Rd Eagle Butte SD 57625-0590 | |
| (605) 964-0785 | |
| Not Available |
| Full Name | Cheyenne River Sioux Tribe Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 27276 166th St Airport Rd, Eagle Butte, 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 Wellness Center 314 Main St Eagle Butte SD 57625-0590 Ph: (605) 964-6190 | Cheyenne River Sioux Tribe Wellness Center 27276 166th St Airport Rd Eagle Butte SD 57625-0590 Ph: (605) 964-0785 |
| NPI Number | 1366684680 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366684680 | NPI | - | NPPES |
| 5546290 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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