1932761335 NPI number — GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932761335 NPI number — GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
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:
OYATE HEALTH CENTER
Provider Other Organization Name Type Code:
3
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:
1932761335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
Provider Second Line Business Mailing Address:
2611 ELDERBERRY BLVD
Provider Business Mailing Address City Name:
RAPID CITY
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-721-1922
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
OYATE HEALTH CENTER
Provider Second Line Business Practice Location Address:
3200 CANYON LAKE DRIVE
Provider Business Practice Location Address City Name:
RAPID CITY
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-355-2211
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2019

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
E
Authorized Official Title or Position:
BUSINESS PLANNING & DEVELOPMENT MGR
Authorized Official Telephone Number:
605-721-1922

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com