CHERRY CREEK TRIBAL HEALTH CENTER (NPI# 1295977510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295977510 |
| Entity Type | Organization |
| Organization Name | CHERRY CREEK TRIBAL HEALTH CENTER |
| Practice Address |
Cherry Creek Cherry Creek SD 57622 |
| Mailing Address |
Po Box 590 Eagle Butte SD 57625-0590 |
| Practice Telephone | 6059646190 |
| Mailing Telephone | 6059646190 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | MS. BERNITA IN THE WOODS (HEATLH DEPARTMENT DIRECTOR) |
| Authorized Official Telephone | 6059646190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5549320 | 05 |
| Street Address |
CHERRY CREEK |
| City | CHERRY CREEK |
| State | SD |
| Zip Code | 57622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184028706 | Cindy Ellis | Counselor | 408 Hunt Rd, Cherry Creek, NY 14723-9715 | 2014-10-09 |
| 1790942613 | Susan Hope Mansfield | Speech-Language Pathologist | 7887 Farrington Hollow Rd, Cherry Creek, NY 14723-9810 | 2008-05-19 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1588223440 | Danielle Hohm, Fnp, Family Wellness Clinic | Clinic/Center | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
| 1437629128 | Root Function Wellness Pllc | Clinic/Center | 2320 9th Ave Se, Watertown, SD 57201-7112 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY CREEK |
| Zip Code | 57622 |
Please comment or provide details below to improve the information on CHERRY CREEK TRIBAL HEALTH CENTER.
| 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.