Organization
CHEYENNE RIVER SIOUX TRIBE BEHAVORIAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA SIMON RN (TRIBAL HEALTH CEO)
(605) 964-0785
Entity
Organization
Contact information
Practice address
24276 166TH STREET AIRPORT ROAD, BOX 1007, EAGLE BUTTE, SD 57625
(605) 964-0788
Mailing address
PO BOX 590, EAGLE BUTTE, SD 57625-0590
(605) 964-0788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
126
SD
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5546290
—
SD
Enumeration date
03/26/2012
Last updated
08/05/2022
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