Organization
US DEPT OF HEALTH & HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HUFF (C.E.O.)
(605) 698-7606
Entity
Organization
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
100 LAKE TRAVERSE DR, PO BOX 189, SISSETON, SD 57262-7046
(605) 698-7606
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
08/21/2014
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