Organization
OGLALA SIOUX TRIBE
Active
Other names
OGLALA SIOUX TRIBE CONTINUUM OF CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KILLER (PRESIDENT)
(605) 864-8487
Entity
Organization
Contact information
Practice address
1588 US-18, PINE RIDGE, SD 57770
(214) 738-8707
(866) 781-9370
Mailing address
1588 US-18, PINE RIDGE, SD 57770
(214) 738-8707
(866) 781-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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