White Horse Tribal Health Center | |
25962 Bia Rt 3 White Horse SD 57661 | |
(605) 964-0772 | |
Not Available |
Full Name | White Horse Tribal Health Center |
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Speciality | Clinic/center - Primary Care |
Location | 25962 Bia Rt 3, White Horse, 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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White Horse Tribal Health Center Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0772 | White Horse Tribal Health Center 25962 Bia Rt 3 White Horse SD 57661 Ph: (605) 964-0772 |
NPI Number | 1588806806 |
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Provider Enumeration Date | 04/01/2009 |
Last Update Date | 08/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588806806 | NPI | - | NPPES |
5549340 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |