| Cherry Creek Tribal Health Center | |
|
11 5th Ave Cherry Creek SD 57622 | |
| (605) 964-6190 | |
| Not Available |
| Full Name | Cherry Creek Tribal Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11 5th Ave, Cherry Creek, 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 |
|---|---|
| Cherry Creek Tribal Health Center Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0772 | Cherry Creek Tribal Health Center 11 5th Ave Cherry Creek SD 57622 Ph: (605) 964-6190 |
| NPI Number | 1295977510 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295977510 | NPI | - | NPPES |
| 5549320 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (South Dakota) | Primary |