| NPI | 1861120552 |
|---|---|
| Other Name | CHEYENNE RIVER BREAST & CERVICAL CANCER EARLY DETECTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RAMONA SIMON Tribal Health CEO 605-964-0785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-11 |