Cheyenne River Sioux Tribe | |
18190 1st Ave Faith SD 57626-0000 | |
(605) 964-0772 | |
Not Available |
Full Name | Cheyenne River Sioux Tribe |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 18190 1st Ave, Faith, 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 Po Box 590 Eagle Butte SD 57625-0590 Ph: (605) 964-0772 | Cheyenne River Sioux Tribe 18190 1st Ave Faith SD 57626-0000 Ph: (605) 964-0772 |
NPI Number | 1649412966 |
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Provider Enumeration Date | 04/01/2009 |
Last Update Date | 08/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649412966 | NPI | - | NPPES |
5549330 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
News Archive
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Faith Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 N 2nd Ave W, Faith, SD 57626 Phone: 605-967-2644 Fax: 605-967-2844 |