Cheyenne River Sioux Tribe Diabetes Clinic

LBN: Cheyenne River Sioux Tribe Diabetes Clinic
Cheyenne River Sioux Tribe Diabetes Clinic is an health care organization with primary practice located at 24276 166Th Street Airport Road , Eagle Butte SD 57625-0590. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cheyenne River Sioux Tribe Diabetes Clinic can be contacted via phone (605) 964-0788, or through Simon, Ramona via phone (605) 964-0785.

Contact Information

Primary practice address
24276 166Th Street Airport Road Eagle Butte SD 57625-0590
Phone: (605) 964-0788
Fax: (605) 964-1062
Website:
Map and Directions
Authorized official contact:
Name: Simon, Ramona Registered Nurse (RN)
Phone: (605) 964-0785

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1265856561
LBN Legal business name Cheyenne River Sioux Tribe Diabetes Clinic
DBA Doing business as
Authorized official Simon, Ramona Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2014
Last updated Aug 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265856561 NPPES
South Dakota MEDICAID 5546290

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