# FLANDREAU SANTEE SIOUX TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flandreau Santee Sioux Tribal Health Center - Professional Service FFS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922915420
- **Authorized official:** DAVID W WALFORD (BILLING/CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (605) 573-4166

## Contact information

- **Practice address:** 403 W BROAD AVE, FLANDREAU, SD 57028-1630
- **Practice address phone:** (605) 997-2642
- **Practice address fax:** (605) 997-2642
- **Mailing address:** PO BOX 329, FLANDREAU, SD 57028-0329
- **Mailing address phone:** (605) 997-2642
- **Mailing address fax:** (605) 997-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 09/09/2026
