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Organization
OGLALA SIOUX TRIBE
Active
Organization
OGLALA SIOUX TRIBE
Active
Other names
OGLALA SIOUX TRIBE CONTINUUM OF CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KILLER (PRESIDENT)
(605) 864-8487
Entity
Organization
Contact information
Practice address
1588 US-18, PINE RIDGE, SD 57770
(214) 738-8707
(866) 781-9370
Mailing address
1588 US-18, PINE RIDGE, SD 57770
(214) 738-8707
(866) 781-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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