Standing Rock Sioux Tribe | |
139 Proposal Ave Standing Rock Sioux Tribe Fort Yates ND 58538 | |
(701) 854-8500 | |
(701) 854-8530 |
Full Name | Standing Rock Sioux Tribe |
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Speciality | Family Medicine |
Location | 139 Proposal Ave, Fort Yates, North Dakota |
Authorized Official Name and Position | Jesse Brian Taken Alive (COMMITTE CHAIRMAN OF THE HEALTH EDU) |
Authorized Official Contact | 7018548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Standing Rock Sioux Tribe P.o. Box D Fort Yates ND 58538 Ph: (701) 854-8500 | Standing Rock Sioux Tribe 139 Proposal Ave Standing Rock Sioux Tribe Fort Yates ND 58538 Ph: (701) 854-8500 |
NPI Number | 1861827743 |
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Provider Enumeration Date | 09/10/2013 |
Last Update Date | 09/10/2013 |
Identifier | Type | State | Issuer |
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1861827743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |