NPI 1578790986

Tribal Clinic

Organisation Health Maintenance Organization Flandreau, SD

Practice location

Address: 701 W Broad Ave, Flandreau, SD 57028-1529
Phone: (605) 997-3844
Fax: (605) 997-3694

Authorised official

Name: Elizabeth a Shortman
Title: Managed Care/Chs Supervisor
Phone: (605) 997-2642

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence LPC-MH2183 (SD)

Other Health Maintenance Organization providers in South Dakota →

Registry record

NPI: 1578790986
Entity type: Organization
NPI issued: 12 Jun 2009
Record last updated: 12 Jun 2009

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.