1891352134 NPI number — SINTE GLESKA UNIVERSITY

Table of content: (NPI 1891352134)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891352134 NPI number — SINTE GLESKA UNIVERSITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SINTE GLESKA UNIVERSITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891352134
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 105
Provider Second Line Business Mailing Address:
ANTELOPE LAKE CAMPUS
Provider Business Mailing Address City Name:
MISSION
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-856-8291
Provider Business Mailing Address Fax Number:
605-856-2132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ANTELOPE LAKE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSION
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-856-8291
Provider Business Practice Location Address Fax Number:
605-856-2132
Provider Enumeration Date:
05/22/2019

Additional Information

Authorized Official

Authorized Official Last Name:
BLACK BEAR
Authorized Official First Name:
NIKITA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
BILLING CLERK
Authorized Official Telephone Number:
605-856-8291

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 46-0312209 . This is a "CHILDRENS MENTAL HEALTH PROGRAM" identifier . This identifiers is of the category "OTHER".




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