Spirit Lake Okiciyapi

NPI #1245723410 in Fort Totten, North Dakota

Provider Information

NPI Number
1245723410
Entity Type
Organization
Organization Name
Spirit Lake Okiciyapi
Subpart
Yes (part of a larger organization)
Parent Organization
SPIRIT LAKE TRIBE
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 12, 2018
Last Updated
Oct 29, 2020

Practice Location

Address
816 3RD AVE N
ZIP Code
58335-9998
Phone
(701) 766-4862

Authorized Official

Name
LINDA SUE PELTIER
Title
3RD PARTY BILLING MANAGER
Phone
(701) 766-1667

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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