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Cheyenne River Sioux Tribe
Primary Care Clinic/Center in Faith, South Dakota
NPI 1649412966

Cheyenne River Sioux Tribe is a Primary Care Clinic/Center based in Eagle Butte, SD and is specialized in Primary Care. Cheyenne River Sioux Tribe practices in Faith, SD. The NPI Number for Cheyenne River Sioux Tribe is 1649412966 and holds a License No. (South Dakota).

The current practice location address for Cheyenne River Sioux Tribe is 18190 1St Ave, Faith, SD and can be reached out via phone at 605-964-0772.

Location: 18190 1St Ave, Faith, SD, 57625-0590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649412966
Provider Name
Cheyenne River Sioux Tribe
Credential
Provider Entity Type
Organization
Address
18190 1St Ave, Faith, SD, 57625-0590
Phone Number
605-964-0772
Fax Number
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5549330 05 SD
institution
Provider Business Practice Location Address Details
Address
18190 1St Ave
City
Faith
State
South Dakota
Zip
57626-0000
Phone Number
605-964-0772
Fax Number
person
Provider Business Mailing Address Details
Address
18190 1St Ave
City
Faith
State
South Dakota
Zip
57626-0000
Phone Number
605-964-0772
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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