# SICANGU OYATE HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629840681
- **Authorized official:** DANNY PRUE JR. (VP OPERATIONS)
- **Authorized official phone:** (605) 222-4416

## Contact information

- **Practice address:** 227 N BIA 9 - SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0719
- **Practice address phone:** (605) 747-5100
- **Practice address fax:** (605) 747-5412
- **Mailing address:** PO BOX 719, ROSEBUD, SD 57570-0719
- **Mailing address phone:** (605) 747-5100
- **Mailing address fax:** (605) 747-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023