FLANDREAU SANTEE SIOUX TRIBE NPI 1437188729

NPI Information

NPI: 1437188729
Provider Name: FLANDREAU SANTEE SIOUX TRIBE
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
CLIA Number: 43D2075485
Address: 403 W BROAD AVE
FLANDREAU, SD
ZIP 57028
Phone: (605) 997-2642

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NPI Details

FLANDREAU SANTEE SIOUX TRIBE is an adult day care clinic center in Flandreau, SD. FLANDREAU SANTEE SIOUX TRIBE NPI is 1437188729. The provider is registered as an organization entity type.

The provider's business location address is:

403 W BROAD AVE
FLANDREAU, SD
ZIP 57028
Phone: (605) 997-2642
Fax: (605) 997-2225

The provider's authorized official is David W Walford .
The authorized official title is Biller/ Credentialing and has the following contact phone number (650) 573-5166.

The CLIA number assigned to this NPI record is 43D2075485 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 10/26/2022.

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	261QA0600X	Clinic/Center	Adult Day Care			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	5546010	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: 11/21/2025

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