CHEYENNE RIVER SIOUX TRIBE DIABETES CLINIC


Address: 24276 166th Street Airport Road, Eagle Butte, SD 57625-0590
Phone: 6059640788

CHEYENNE RIVER SIOUX TRIBE DIABETES CLINIC (NPI# 1265856561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265856561
Entity Type Organization
Organization Name CHEYENNE RIVER SIOUX TRIBE DIABETES CLINIC
Practice Address 24276 166th Street Airport Road
Eagle Butte
SD 57625-0590
Mailing Address Po Box 590
Eagle Butte
SD 57625-0590
Practice Telephone 6059640788
Practice Fax Number 6059641062
Mailing Telephone 6059640788
Mailing Fax Number 6059641062
Enumeration Date 2014-02-07
Last Update Date 2014-02-07
Authorized Official Name MS. DELEEN KOUGL (TRIBAL HEALTH CEO)
Authorized Official Telephone 6059640788
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 24276 166TH STREET AIRPORT ROAD
City EAGLE BUTTE
State SD
Zip Code 57625-0590

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922374826 Cheyenne River Sioux Tribe Behavorial Health Psychologist 24276 166th Street Airport Road, Box 1007, Eagle Butte, SD 57625 2012-03-26
1891301420 Leila Dougherty Registered Nurse 24276 166th Street Airport Road, Eagle Butte, SD 57625 2020-09-18
1952928756 Pelagie Mckenzie Jewett Nurse's Aide 24276 166th Street Airport Road, Eagle Butte, SD 57625 2020-06-29
1528690591 Annmarie Ducheneaux Registered Nurse 24276 166th Street Airport Road, Eagle Butte, SD 57625 2020-02-07
1144874942 Lita Marie Miller Registered Nurse 24276 166th Street Airport Road, Eagle Butte, SD 57625 2019-07-30
1194101105 Carlie M Soper Pharmacist 24276 166th Street Airport Road, Eagle Butte, SD 57625 2015-08-03
1609116524 Mary Jo Dupris Licensed Practical Nurse 24276 166th Street Airport Road, Eagle Butte, SD 57625 2013-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998359 Jill M Marshall Registered Nurse 24279 166th St. Airport Road, Eagle Butte, SD 57625 2020-06-29
1871110890 Stephen Andrew Williams Registered Nurse 24767 166th St, Eagle Butte, SD 57625 2020-06-26
1730706706 Shannon Renee Brautigan Registered Nurse 24276 166th Street Airport Rd., Eagle Butte, SD 57625 2020-06-25
1598327827 Lucy Manu Pharmacist 24276 166th Street; Airport Road, Eagle Butte, SD 57625 2019-07-08
1518429539 Lisa Marie Brower Registered Nurse 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 2019-04-01
1063976025 Jeff Dixon Pharmacist Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 2019-01-24
1619455540 Alycia Oster Registered Nurse 24276 166th St Airport Rd, Eagle Butte, SD 57625 2018-08-02
1447765987 Deidra Monique Hall Nurse's Aide 211 S Spiel Court, Eagle Butte, SD 57625 2017-12-06
1295271070 Cree Iron Cloud Registered Nurse #24276 Airport Rd, Eagle Butte, SD 57625 2017-01-17
1922452531 Holly Mattern Registered Nurse 24276 166th Street Airport Rd, Eagle Bute, SD 57625 2016-04-20
Find all providers in zip 57625

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457593725 Cheyenne River Sioux Tribe Field Health Clinic Clinic/Center 314 Main St., Eagle Butte, SD 57625 2009-04-01
1366684680 Cheyenne River Sioux Tribe Wellness Center Clinic/Center 314 Main St, Eagle Butte, SD 57625-0590 2009-04-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760093025 Revitalized Wellness, Pllc Clinic/Center 401 E 8th St Ste 214-7054, Sioux Falls, SD 57103-7011 2020-08-11
1831492958 About You Physical Therapy, Inc Clinic/Center 5622 Sheridan Lake Rd Ste 105, Rapid City, SD 57702-8881 2010-12-11
1548570450 Hubbel Chiropractic Clinic, PC Clinic/Center 510 W. 24th Street, Sioux Falls, SD 57105-1700 2010-10-13
1649412966 Cheyenne River Sioux Tribe Clinic/Center Howes, Howes, SD 57748-0000 2009-04-01
1295977510 Cherry Creek Tribal Health Center Clinic/Center Cherry Creek, Cherry Creek, SD 57622 2009-04-01
1104068428 Cheyenne River Sioux Tribe Clinic/Center Swfitbird Community, Swiftbird, SD 57637-0000 2009-04-01
1588806806 White Horse Tribal Health Center Clinic/Center White Horse Community, White Horse, SD 57661 2009-04-01
1093335333 Mobridge Regional Hospital Clinic/Center 4401 Main St, Selby, SD 57472-2010 2020-04-16
1497385348 Paragon Health & Wellness, LLC Clinic/Center 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2020-01-20
1588223440 Danielle Hohm, Fnp, Family Wellness Clinic Clinic/Center 317 6th Ave, Brookings, SD 57006-2042 2019-06-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City EAGLE BUTTE
Zip Code 57625

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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