Provider Demographics
NPI:1376105452
Name:GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
Entity Type:Organization
Organization Name:GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
Other - Org Name:OYATE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS PLANNING & DEVELOPMENT MGR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CPC, CPB, CPC-I
Authorized Official - Phone:605-721-1922
Mailing Address - Street 1:OYATE HEALTH CENTER
Mailing Address - Street 2:2611 ELDERBERRY BLVD
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-5970
Mailing Address - Country:US
Mailing Address - Phone:605-721-1922
Mailing Address - Fax:
Practice Address - Street 1:3200 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8114
Practice Address - Country:US
Practice Address - Phone:605-721-1922
Practice Address - Fax:605-721-1932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy