Organization
OGLALA SIOUX LAKOTA HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON BEAR RUNNER MPA (CEO)
(605) 441-5768
Entity
Organization
Contact information
Practice address
4 SUANNE CENTER DR, PINE RIDGE, SD 57770-3272
(605) 867-5161
Mailing address
PO BOX 603, PINE RIDGE, SD 57770-0603
(605) 867-5161
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
10/12/2022
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