Organization
OGLALA SIOUX TRIBE
Active
Parent organization
OGLALA SIOUX TRIBE
Other names
Native Womens Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OGLALA SIOUX TRIBE
Authorized official
ROXANNE TWO BULLS (CLINIC DIRECTOR)
(605) 342-7400
Entity
Organization
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 342-7400
(605) 342-8239
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 342-7400
(605) 342-8239
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164503421
WELLMARK
SD
Enumeration date
10/17/2006
Last updated
07/09/2020
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