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Cheyenne River Breast & Cervical Cancer Early Detection Program
Mammography Clinic/Center in Eagle Butte, South Dakota
NPI 1861120552

Cheyenne River Breast & Cervical Cancer Early Detection Program is a Mammography Clinic/Center based in Eagle Butte, SD and is specialized in Radiology, Mammography. Cheyenne River Breast & Cervical Cancer Early Detection Program practices in Eagle Butte, SD. The NPI Number for Cheyenne River Breast & Cervical Cancer Early Detection Program is 1861120552 and holds a License No. (South Dakota).

The current practice location address for Cheyenne River Breast & Cervical Cancer Early Detection Program is 24276 166Th St, Eagle Butte, SD and can be reached out via phone at 605-964-0736 and via fax at 605-964-1176.

Location: 24276 166Th St, Eagle Butte, SD, 57625-0590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861120552
Provider Name
Cheyenne River Breast & Cervical Cancer Early Detection Program
Credential
Provider Entity Type
Organization
Address
24276 166Th St, Eagle Butte, SD, 57625-0590
Phone Number
605-964-0736
Fax Number
605-964-1176
Provider Enumeration Date
08/10/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
24276 166Th St
City
Eagle Butte
State
South Dakota
Zip
57625-8141
Phone Number
605-964-0736
Fax Number
605-964-1176
person
Provider Business Mailing Address Details
Address
24276 166Th St
City
Eagle Butte
State
South Dakota
Zip
57625-8141
Phone Number
605-964-0736
Fax Number
605-964-1176
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
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