Rosebud Sioux Tribe Alcohol Drug Treatment Program

LBN: Rosebud Sioux Tribe Alcohol Drug Treatment Program
Rosebud Sioux Tribe Alcohol Drug Treatment Program is an health care organization with primary practice located at #7 Hospital Lane , Rosebud SD 57570. The organization recently has only one registered license in Transportation Services / Private Vehicle, which is considered as the primary health care specialty. Rosebud Sioux Tribe Alcohol Drug Treatment Program can be contacted via phone (605) 747-2342, or through Eagle Bear, Marcida Beatrice via phone (605) 747-2342.

Contact Information

Primary practice address
#7 Hospital Lane Rosebud SD 57570
Fax: (605) 747-2111
Website:
Authorized official contact:
Name: Eagle Bear, Marcida Beatrice M.A., CCDCIII

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1063602365
LBN Legal business name Rosebud Sioux Tribe Alcohol Drug Treatment Program
DBA Doing business as
Authorized official Eagle Bear, Marcida Beatrice M.A., CCDCIII
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 17 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 1063602365 NPPES
South Dakota MEDICAID 9515310

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