NPI 1073330064
Sisseton Wahpeton Oyate of the Lake Traverse Reservation
Practice location
- Address
- 12554 Bia Highway 711, Agency Village, SD 57262-7409
- Phone
- (605) 698-3911
- Mailing address
- PO Box 509, Agency Village, SD 57262-0509
Authorised official
- Name
- Elise Johnson
- Title
- Tribal Health Director
- Phone
- (605) 698-8315
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1073330064
- Entity type
- Organization
- NPI issued
- 23 Sep 2024
- Record last updated
- 23 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.