Organization
ERNEMY SWIM TRIBAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN RAY LOCKE (ESD CHAIRPERSON)
(605) 947-4319
Entity
Organization
Contact information
Practice address
13495 446TH AVE, WAUBAY, SD 57273-5318
(605) 947-4319
(605) 947-4873
Mailing address
PO BOX 15, WAUBAY, SD 57273-0015
(605) 947-4319
(605) 947-4873
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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