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Organization
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Active
Organization
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Active
Parent organization
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Other names
Asniyapi Field Mobile Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Authorized official
ELISE JOHNSON (TRIBAL HEALTH DIRECTOR)
(605) 698-3911
Entity
Organization
Contact information
Practice address
114 LAKE TRAVERSE DR STE 102, SISSETON, SD 57262-7046
(833) 674-3444
Mailing address
PO BOX 509, SISSETON, SD 57262-0509
(605) 742-3697
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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