Organization
SISSETON WAHPETON OYATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL I SELVAGE SR. (TRIBAL CHAIRMAN)
(605) 698-3911
Entity
Organization
Contact information
Practice address
45657 VETERANS MEMORIAL DRIVE, SISSETON, SD 57262-0509
(605) 698-3911
(605) 698-7907
Mailing address
PO BOX 509, SISSETON, SD 57262-0509
(605) 698-3911
(605) 698-7907
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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