Organization
OGLALA SIOUX TRIBE
Active
Other names
Community Health Representative
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SCHRADER MSW (HEALTH ADMINISTRATOR)
(605) 867-1704
Entity
Organization
Contact information
Practice address
106 W MAIN ST, PINE RIDGE, SD 57770-3000
(605) 867-5801
(605) 867-5406
Mailing address
PO BOX 601, PINE RIDGE, SD 57770-0601
(605) 867-5801
(605) 867-5406
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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