Organization
CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM
Active
Parent organization
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Other names
Cheyenne River Breast & Cervical Cancer Early Detection Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Authorized official
RAMONA SIMON RN (TRIBAL HEALTH CEO)
(605) 964-0785
Entity
Organization
Contact information
Practice address
24276 166TH ST, EAGLE BUTTE, SD 57625-8141
(605) 964-0736
(605) 964-1176
Mailing address
PO BOX 590, EAGLE BUTTE, SD 57625-0590
(605) 964-0556
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/11/2022
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