Cheyenne River Sioux Tribe Diabetes Clinic
NPI #1265856561 in Eagle Butte, South Dakota
Provider Information
- NPI Number
- 1265856561
- Entity Type
- Organization
- Organization Name
- Cheyenne River Sioux Tribe Diabetes Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 7, 2014
- Last Updated
- Aug 10, 2022
Practice Location
- Address
- 24276 166TH STREET AIRPORT ROAD
- City
- Eagle Butte
- State
- South Dakota
- ZIP Code
- 57625-0590
- Phone
- (605) 964-0788
Authorized Official
- Name
- MS. RAMONA SIMON, RN
- Title
- TRIBAL HEALTH CEO
- Phone
- (605) 964-0785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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