Organization
GREAT PALINS TRIBAL LEADERS HEALTH BOARD
Active
Other names
Great Palins Tribal Leaders Health Board
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN PHILLIP ARSAGA RN (LEAD NURSE)
(605) 691-2496
Entity
Organization
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 691-2496
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 691-2496
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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