Provider First Line Business Practice Location Address:
STANDING ROCK IHS HOSPITAL
Provider Second Line Business Practice Location Address:
00N10 NORTH RIVER ROAD
Provider Business Practice Location Address City Name:
FORT YATES
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-854-8219
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007