| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861827743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |