Wagner Indian Health Service Health Center
NPI #1326066796 in Wagner, South Dakota
Provider Information
- NPI Number
- 1326066796
- Entity Type
- Organization
- Organization Name
- Wagner Indian Health Service Health Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 111 WASHINGTON AVE
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380
- Phone
- (605) 384-3621
Authorized Official
- Name
- MR. MICHAEL HORNED EAGLE
- Title
- CEO
- Phone
- (605) 384-3621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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