| Cheyenne River Breast & Cervical Cancer Early Detection Program | |
|
24276 166th St Eagle Butte SD 57625-8141 | |
| (605) 964-0736 | |
| (605) 964-1176 |
| Full Name | Cheyenne River Breast & Cervical Cancer Early Detection Program |
|---|---|
| Speciality | Clinic/center - Radiology, Mammography |
| Location | 24276 166th St, 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 Breast & Cervical Cancer Early Detection Program Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0556 | Cheyenne River Breast & Cervical Cancer Early Detection Program 24276 166th St Eagle Butte SD 57625-8141 Ph: (605) 964-0736 |
| NPI Number | 1861120552 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861120552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0206X | Clinic/center - Radiology, Mammography | (* (Not Available)) | Primary |
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