| Oglala Sioux Tribe | |
|
3200 Canyon Lake Dr Rapid City SD 57702-8114 | |
| (605) 342-7400 | |
| Not Available |
| Full Name | Oglala Sioux Tribe |
|---|---|
| Speciality | Clinic/center |
| Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Authorized Official Name and Position | Roxanne Two Bulls (CLINIC DIRECTOR) |
| Authorized Official Contact | 6053427400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oglala Sioux Tribe Po Box 9608 Rapid City SD 57709-9608 Ph: () - | Oglala Sioux Tribe 3200 Canyon Lake Dr Rapid City SD 57702-8114 Ph: (605) 342-7400 |
| NPI Number | 1487373312 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487373312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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