ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM NPI 1063602365

NPI Information

NPI: 1063602365
Provider Name: ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
#7 HOSPITAL LANE
ROSEBUD, SD
ZIP 57570
Phone: (605) 747-2342
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ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM is a private vehicle in Rosebud, SD. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. ROSEBUD SIOUX TRIBE ALCOHOL DRUG TREATMENT PROGRAM NPI is 1063602365. The provider is registered as an organization entity type.

The provider's business location address is:

#7 HOSPITAL LANE
ROSEBUD, SD
ZIP 57570
Phone: (605) 747-2342
Fax: (605) 747-2111

The provider's authorized official is Marcida Beatrice Eagle Bear .
The authorized official title is Executive Director and has the following contact phone number (605) 747-2342.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 8/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9515310	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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