SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION

SISSETON, SD
NPI1629858519
Doing Business AsSISSETON-WAHPETON OYATE ASNIYAPI FIELD HEALTH CLINIC
Entity TypeOrganization
Authorized ContactELISE JOHNSON
Swo Tribal Health Director
605-698-8315
Organization Subpart ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Additional Taxonomies133V00000X Dietitian, Registered
Enumeration Date2023-09-29
Last Update Date2024-02-22
Business Address
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
114 LAKE TRAVERSE DR STE 102
SISSETON, SD 57262-7046
Phone number: 833-674-3444
Mailing Address
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
PO BOX 509
SISSETON, SD 57262-0509
Phone number: 605-742-3697