Wagner Indian Health Service Health Center

NPI #1427707108 in Wagner, South Dakota

Provider Information

NPI Number
1427707108
Entity Type
Organization
Organization Name
Wagner Indian Health Service Health Center
Primary Specialty
Community Health Worker
Enumeration Date
Mar 21, 2022
Last Updated
Mar 21, 2022

Practice Location

Address
111 WASHINGTON AVE NW
City
Wagner
ZIP Code
57380-4300
Phone
(605) 384-3621

Authorized Official

Name
MICHAEL R HORNED EAGLE
Title
CEO
Phone
(605) 384-3621

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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