Organization
FORT THOMPSON INDIAN HEALTH SERVICE
Active
Parent organization
FORT THOMPSON INDIAN HEALTH SERVICE
Other names
Fort Thompson Indian Health Service Community Health Worker
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT THOMPSON INDIAN HEALTH SERVICE
Authorized official
KELLIE LYNN TAYLOR (BUSINESS OFFICE MANAGER)
(605) 245-1559
Entity
Organization
Contact information
Practice address
1323 BIA RT 4, FORT THOMPSON, SD 57339
(605) 245-1559
Mailing address
1323 BIA RT 4, FORT THOMPSON, SD 57339
(605) 245-1559
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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