# CROW CREEK SIOUX TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crow Creek Sioux Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457486045
- **Authorized official:** MR. TRAVIS COMET FLYING (DIRECTOR)
- **Authorized official phone:** (605) 245-2779

## Contact information

- **Practice address:** 206 EAST SAMBOY, FORT THOMPSON, SD 57339-0409
- **Practice address phone:** (605) 245-2779
- **Practice address fax:** (605) 245-2182
- **Mailing address:** PO BOX 409, 206 EAST SAMBOY, FORT THOMPSON, SD 57339-0409
- **Mailing address phone:** (605) 245-2779
- **Mailing address fax:** (605) 245-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0141 | SD | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 07/24/2014