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Organization

OGLALA SIOUX TRIBE HEALTH ADMINISTRATION

Active
Parent organization
OGLALA SIOUX TRIBE HEALTH ADMINISTRATION
Other names
Tribal Management-Third Party Billing
Organization subpart
Yes

Provider details

NPI number
Legal business name
OGLALA SIOUX TRIBE HEALTH ADMINISTRATION
Authorized official
LISA A. SCHRADER-DILLON MSW (HEALTH ADMINISTRATOR)
(605) 867-1704
Entity
Organization

Contact information

Practice address
200 AIRPORT ROAD - OLD DSS BUILDING, EAST HIGHWAY - 18, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063
Mailing address
P.O. BOX 5011, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/06/2009
Last updated
08/27/2012
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