Wakpala Clinic | |
420 Prairie Avenue Wakpala SD 57658-9998 | |
(605) 845-3092 | |
Not Available |
Full Name | Wakpala Clinic |
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Speciality | Clinic/center - Public Health, Federal |
Location | 420 Prairie Avenue, Wakpala, South Dakota |
Authorized Official Name and Position | Jana Rhea Gipp (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7018548211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wakpala Clinic P.o. Box J N10 North River Road Fort Yates ND 58538-0527 Ph: (701) 854-3831 | Wakpala Clinic 420 Prairie Avenue Wakpala SD 57658-9998 Ph: (605) 845-3092 |
NPI Number | 1104971738 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 02/08/2024 |
Identifier | Type | State | Issuer |
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1104971738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |