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Organization

SANTEE SIOUX NATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE HENRY (CLINICAL DIRECTOR)
(402) 857-2300
Entity
Organization

Contact information

Practice address
110 S VISITING EAGLE ST, NIOBRARA, NE 68760-7201
(402) 857-2300
(402) 857-2315
Mailing address
110 S VISITING EAGLE ST, NIOBRARA, NE 68760-7201
(402) 857-2300
(402) 857-2315

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1445
NE

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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