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Organization
STANDING ROCK SIOUX TRIBE
Active
Organization
STANDING ROCK SIOUX TRIBE
Active
Other names
Standing Rock Sioux Tribe Wellness Program
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE CRUZ (THIRD PARTY BILLING SPECIALIST)
(701) 391-7170
Entity
Organization
Contact information
Practice address
310 AGENCY AVE, FORT YATES, ND 58538
(701) 854-3649
(701) 989-4226
Mailing address
PO BOX D, FORT YATES, ND 58538-0522
(701) 391-7170
(701) 854-8686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
06/16/2026
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