| NPI | 1659530707 |
|---|---|
| Doing Business As | DIABETES PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RAMONA SIMON Tribal Health CEO 605-964-0785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 20-001-E-ST) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-08-05 |