Organization
OGLALA SIOUX TRIBE
Active
Parent organization
OGLALA SIOUX TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OGLALA SIOUX TRIBE
Authorized official
MS. DEBORAH ZOE CHARGEONHIM (BUSINESS OFFICE MANAGER)
(605) 343-7832
Entity
Organization
Contact information
Practice address
3200 CANYON LAKE DRIVE, RAPID CITY, SD 57702
(605) 343-7832
(605) 355-8808
Mailing address
PO BOX 9193, RAPID CITY, SD 57709
(605) 343-7832
(605) 355-8808
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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