| Cheyenne River Sioux Tribe Diabetes Clinic | |
|
24276 166th Street Airport Road Eagle Butte SD 57625-0590 | |
| (605) 964-0788 | |
| (605) 964-1062 |
| Full Name | Cheyenne River Sioux Tribe Diabetes Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 24276 166th Street Airport Road, 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 Diabetes Clinic Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0788 | Cheyenne River Sioux Tribe Diabetes Clinic 24276 166th Street Airport Road Eagle Butte SD 57625-0590 Ph: (605) 964-0788 |
| NPI Number | 1265856561 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265856561 | NPI | - | NPPES |
| 5546290 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Cheyenne River Sioux Tribe Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27276 166th St Airport Rd, Eagle Butte, SD 57625 Phone: 605-964-0785 | |
Cheyenne River Sioux Tribe Field Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24276 166th St, Eagle Butte, SD 57625 Phone: 605-964-0785 Fax: 605-964-1062 | |
Family Health Center Of Eagle Butte Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8000 E Hwy 212, Eagle Butte, SD 57625 Phone: 605-964-8000 Fax: 605-964-1118 | |
Cheyenne River Breast & Cervical Cancer Early Detection Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24276 166th St, Eagle Butte, SD 57625 Phone: 605-964-0736 Fax: 605-964-1176 |