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Organization

ROSEBUD SIOUX TRIBE -CHR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVELYN M ESPINOZA RN (HEALTH DIRECTOR)
(605) 747-5100
Entity
Organization

Contact information

Practice address
729 HOSPITAL DRIVE, ROSEBUD, SD 57570
(605) 747-2316
(605) 747-5816
Mailing address
PO BOX 808, ROSEBUD, SD 57570-0808
(605) 747-2316
(605) 747-5816

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
67
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1970640000
SD
Enumeration date
11/07/2012
Last updated
12/12/2016
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